Safety and Feasibility of Transulnar Artery Approach for Coronary Angiography or Angioplasty

Fu Xianghua

Status: Unknown

Conditions: Transulnar; Intervention; Transradial

Treatments: Procedure: transulnar approach interventional procedure; Procedure: transradial approach interventional procedure

Study type: Interventional

Funder types: Other

Identifiers

NCT01979627

fuxhtransulnar

Details and patient eligibility

About

The transradial approach for coronary angiography and angioplasty is now widely used in catheterization laboratories worldwide, which had been shown as advantages over the conventional femoral and brachial approaches due to the lower incidence of bleeding and other cardiovascular complications. However, the transradial approach does not seem suitable for 5-15% of patients undergoing coronary angiography and angioplasty. The ulnar artery which is one of the two terminal branches of the brachial artery is usually larger than radial artery and it may be as a potential approach for cardiac catheterization. Recently, some reports have demonstrated that the transulnar approach may be both feasible and safe for coronary angiography and angioplasty in selective patients.we performed this study to evaluate the safety and feasibility of transulnar approach coronary catheterization in real world non-selective patients.

Enrollment: 1,000 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of coronary artery disease
• Needed to perform coronary angiography or angioplasty

Exclusion criteria

• Arterial circulatory disease in an upper limb
• History of deformity
• Forearm trauma
• Forearm amputated
• Hemodialysis
• Symptomatic peripheral artery disease
• Raynaud's syndrome
• Hemorrhagic disease
• Cardiogenic shock
• Others who were unwilling to participate the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,000 participants in 2 patient groups

transulnar approach group

Experimental group

Description:

Patients in transulnar group received interventional procedure through ulnar artery

Treatment:

Procedure: transulnar approach interventional procedure

transradial approach group

Other group

Description:

patients in transradial group received interventional procedure through radial artery

Treatment:

Procedure: transradial approach interventional procedure