An interventional study of Diagnostic cerebral angiography in Cerebral Angiography, sponsored by Mashhad University of Medical Sciences. Recruiting at 1 site in Iran, Islamic Republic of. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-07-08.
Sponsored by Mashhad University of Medical Sciences · Not applicable, Interventional, and Diagnostic
Transradial diagnostic angiography in cardiovascular disease given lower vascular complications. However, neuroendovascular surgeons have not widely adopted the transradial approach for diagnostic approach and interventional procedures. This study aims to compare the efficacy, safety, and patient satisfaction with the transradial approach versus the transfemoral approach in diagnostic cerebral angiography.
Transradial diagnostic angiography in cardiovascular disease given lower vascular complications. However, neuroendovascular surgeons have not widely adopted the transradial approach for diagnostic approach and interventional procedures. This study aims to compare the efficacy, safety, and patient satisfaction with the transradial approach versus the transfemoral approach in diagnostic cerebral angiography.
Mashhad University of Medical Sciences is the lead sponsor of 92 studies on the registry; 3 are open to participants now.
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Exclusion Criteria:
The diagnostic angiography was performed by radial approach.
Procedure: Diagnostic cerebral angiography
The diagnostic angiography was performed by femoral approach.
Procedure: Diagnostic cerebral angiography
In transradial access, no preprocedural upper extremity collateral blood supply testing was completed. When the radial access is unsuccessful, it is shifted to ulnar or femoral access. All right arms were secured in the fully supine position to allow access to both radial and ulnar arteries. At the conclusion of radial access procedures, a TR band was applied to close the access. Neurological exams as well as radial artery pulse and pulse oximeter of the right first finger were assessed during and on discharge by trained recovery nurses. Femoral access was performed in a standard manner. After the access (femoral or radial), a cerebral angiogram was performed in a standard manner using appropriate catheters (vertebral, bern, Simmons 2 or 3) according to the access. For the radial access, the patient was slightly sedated.
technical success
Incidence of sucess of performing the programmed cerebral angiogram through the randomised access without for crossover.
Time frame: during procedure
access success
Incidence of puncture success to insert a sheat in the access point
Time frame: during procedure
total procedure time
the duration (minutes) between the insertion of sheath and removal of sheath. fluoroscopy time, the need for performing 3D angiography, dose area product (DAP), total radiation dose, successful puncture (successful insertion of radial artery sheath and femoral artery sheath). Procedures that yielded angiograms with acceptable quality through the subclavian artery injection (with an inflated blood pressure cuff on the arm), in cases of failed vertebral artery cannulation, were also considered successful.
Time frame: during procedure
total fluoroscopy time
the duration of fluoroscopy
Time frame: during procedure
complication
incidence of any procedural-related complication procedure
Time frame: during procedure or one week after procedure
Patient Satisfaction
The pain evaluation by the Visual analog score (VAS) by trained nurses and recorded as the scoring system (No pain: 0; Mild:1-3; Moderate:4-7; Severe:8-10).
Time frame: immediately after procedure, one hour after the procedure
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Mashhad University of Medical Sciences