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Completed

NCT Number: NCT04183140

Comparison of Radial and Ulnar Artery Intervention in Patients With ST Elevated Myocardial Infarction

In the literature, there are no studies comparing these two pathways in ST elevation myocardial infarction (STEMI). In this patient group, it will be investigated whether transulnar intervention causes similar or less complications than transradial intervention, and whether it provides superiority or similarity in terms of outcomes.

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Key information

Conditions

ST Elevated Myocardial Infarction Cardiovascular Diseases Heart Diseases Infarction Ischemia Myocardial Infarction Myocardial Ischemia Necrosis Pathologic Processes Pathological Conditions, Signs and Symptoms ST Elevation Myocardial Infarction Vascular Diseases

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sakarya University Education and Research Hospital

Sakarya, TR, 54100, Turkey (Türkiye)

About this study

The transulnar approach is known as an alternative procedure for transradial coronary angiography due to its safety and applicability. For cardiologists, experienced in trans-ulnar access, this access zone is comfortable to use. Because less spasm is developing. In addition, no significant difference was found between the transradial and transulnar routes in terms of other complications.In the literature, there are no studies comparing these two pathways in ST elevation myocardial infarction (STEMI). In this patient group, it will be investigated whether transulnar intervention causes similar or less complications than transradial intervention, and whether it provides superiority or similarity in terms of outcomes.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • patients over 18 years of age
  • admitted for primary percutaneous intervention
  • either of these two routes has not been used in the last week
  • a sufficient pulse at both routes

Exclusion criteria

  • cardiogenic shock
  • stent thrombosis
  • the use of either of these two arteries in the last 1 week
  • either of these arteries can not be pulsed or very weak pulsed

Treatment and study plan

Primary percutaneous coronary intervention

Procedure

primary percutaneous coronary intervention via transulnar or transradial access

Primary outcomes

  1. Complication rate

    Time frame: 1 day

    Major and minor neurovascular events (access related) of the arm including pain/motor paralysis/paresthesia, hematoma, pseudoaneurysm, artery spasm, arterial occlusion

  2. in-hospital cardiac outcomes

    Time frame: 1 week

    the incidence of death, myocardial infarction (MI), urgent target lesion revascularization (TLR), acute heart failure as major adverse cardiac events (MACEs) within the hospital

Sponsors and collaborators

Lead sponsor

Sakarya University

Other

Registry information

Official study title

Comparation of Transulnar Versus Transradial Approach for Primary Percutaneous Coronary Intervention in Patients With ST-elevated Myocardial Infarction in Terms of Procedure Complications and In-hospital Cardiac Outcomes

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Dec 3, 2019
Registry last updated
Oct 26, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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