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Completed

NCT Number: NCT03522077

RAVE: Radial Artery Vascular Complication and Resource Utilization

The primary objective of this study is to determine if there is a reduction in time to hemostasis in subjects treated with SoftSeal®-STF hemostatic pad when used in conjunction with a vascular compression device after radial transcatheter procedure.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Aurora Health Care

Milwaukee, Wisconsin, 53202, United States

About this study

The SoftSeal-STF hemostatic pad and compression devices (TR BAND® and RadAR EasyCLik) function to stop bleeding without obstructing radial artery flow, and have been shown to reduce the occurrence of radial artery occlusion.

The SoftSeal-STF hemostatic pad is an FDA-approved, chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot. Its mechanism of action is believed to be due to bioadhesion between the chitosan polymer chains, which are positively charged, and the negatively charged blood and tissue components, thereby stopping bleeding.

In this study the RadAR EasyCLik and TR BAND® Compression devices will be used with the SoftSeal®-STF hemostatic pad to promote hemostasis at the puncture site. Both vascular compression devices are FDA approved.

The VascBand™ Hemostat is an FDA-approved compression device designed to assist hemostasis of arterial, venous and hemodialysis percutaneous access sites.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Scheduled for an angiogram/PCI
  • Planned transradial approach

Exclusion criteria

  • Evidence of impaired dual perfusion to the hand when tested using Allen's test
  • Inaccessible radial arteries due to anatomic variations
  • Infection or other skin disorder at the puncture site
  • Undergoing an emergent or unplanned angiogram using the transradial approach
  • Evidence of severe cognitive impairment or inability to understand the study procedures and answer follow-up questions
  • Known sensitivity or allergic reaction to materials in the study devices
  • Unwilling to participate in the study and follow all study-related procedures
  • Participating physician deems the subject to not be a good candidate
  • Inability to achieve radial access

Treatment and study plan

RadAR EasyCLik plus ®-STF hemostatic pad

Device

Chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot in conjunction with the RadAR EasyCLik compression device

TR BAND® Compression device plus ®-STF hemostatic pad

Device

Chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot in conjunction with the TR BAND® compression device

SoftSeal®-STF hemostatic pad

Device

Chitosan-based, non-woven pad with a unique, proprietary fiber structure that when hydrated with tissue fluids forms a gel-like synthetic clot

VascBand™ Hemostat

Device

The VascBand™ Hemostat is an FDA-approved compression device designed to assist hemostasis of arterial, venous and hemodialysis percutaneous access sites.

Primary outcomes

  1. Time to Hemostasis

    Time frame: 1 day

    Time interval in minutes beginning with sheath removal and ending with removal of hemostatic device and/or observed hemostasis

Secondary outcomes

  1. Number of Participants With Major Access Site Bleeding

    Time frame: Post procedure to prior to discharge, on average same day discharge or up to 1-2 days

    A ≥ 3 mg/dL drop in hemoglobin, or required blood transfusion or vascular repair to control bleeding. Prior to discharge.

  2. Number of Participants With Minor Access Site Bleeding

    Time frame: Post procedure to prior to discharge, on average same day discharge or up to 1-2 days

    Number of participants with light access site bleeding without hematoma formation

  3. Number of Participants With Minor Access Site Bleeding

    Time frame: At time of follow up office visit, if done within 45 days post procedure

    Number of participants with light access site bleeding without hematoma formation

  4. Number of Participants With Hematoma Formation

    Time frame: 1 day

    Number of participants with hematoma formation ≥ 3 cm in diameter

  5. Visual Analogue Scale (VAS)

    Time frame: 3 day

    Pain at access site on numeric scale of 0-10, 0 meaning no pain at all and 10 meaning extreme pain. A lower score is a better outcome and higher score is a worse outcome.

  6. Visual Analogue Scale (VAS)

    Time frame: At time of follow up office visit, if done within 45 days post procedure

    Pain at access site on numeric scale of 0-10, 0 meaning no pain at all and 10 meaning extreme pain. A lower score is a better outcome and higher score is a worse outcome.

  7. Number of Participants With Evidence of Hand/Digit Ischemia

    Time frame: 3 days

    Reported as pain, tingling, or numbness in the hand and/or fingers reported

  8. Number of Participants With Evidence of Hand/Digit Ischemia

    Time frame: 30 days

    Reported as pain, tingling, or numbness in the hand and/or fingers reported

  9. Number of Participants Who Had a Readmission

    Time frame: 30 days

    Number of Participants who had a Readmission for a Vascular complication

  10. Number of Participants With Bruising, Swelling, or Redness

    Time frame: 30 days

    Number of participants with bruising, swelling, or redness at or near access site

  11. Number of Participants Who Completed Patient Satisfaction Assessment

    Time frame: At time of follow up office visit, if done within 45 days post procedure

    Reported as average, above average, or excellent satisfaction with procedure

  12. Number of Participants With Level of Post Procedure Healing

    Time frame: At time of follow up office visit, if done within 45 days post procedure

    Satisfaction with healing post procedure, reported as average, above average, or excellent

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Collaborators

  • Chitogen, Inc.

Registry information

Official study title

RAVE: Radial Artery Vascular Complication and Resource Utilization in Subjects Undergoing an Angiogram/PCI (Percutaneous Coronary Intervention)

Important dates

Study start
2018
Primary completion
2021
Study completion
2021
First posted
May 11, 2018
Registry last updated
Oct 3, 2024

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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