Radial Versus Femoral Arterial Access for Cardiac Catheterization: Comparison of Complications at 30 Days

Cardiac catheterization has traditionally been performed via access to the arterial circulation from the femoral artery located in the groin. As an alternative to this approach, the radial artery, located in the arm, is gaining wider use in clinical practice. Multiple studies have demonstrated that cardiac catheterization via the radial approach has a very low complication rate, in the short term. This study is intended to determine if there are any differences in the long term complication rate between radial artery cardiac catheterization as compared with femoral artery cardiac catheterization.

Study Overview

• Status: Completed
• Conditions: Radial Artery Occlusion
• Intervention / Treatment: Other: Distal pulses; Other: Allen's test

• Study Type: Observational
• Enrollment (Actual): 243

Contacts and Locations

Study Locations

• United States
  • Nebraska
    • Omaha, Nebraska, United States, 68131
      • Creighton University Medical Center
    • Omaha, Nebraska, United States, 68131
      • The Cardiac Center at Creighton University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients presenting at Creighton University Medical Center Cardiac Catheterization laboratory for either radial or femoral cardiac catherization

Description

Inclusion Criteria:

• Male or Female
• 19 years old or older
• candidate for radial or femoral cardiac catheterization

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Femoral; Subjects receiving femoral artery cardiac catheterization	Other: Distal pulses; Practitioner will check that the dorsalis pedis and posterior tibialis are palpable.
Radial; Subjects receiving radial artery cardiac catheterization	Other: Allen's test; The Allen's test checks to make sure that radial and ulnar arteries that supply blood to the hand are not blocked. A pulse oximeter is placed on the index finger of the hand. The subject is asked to make a fist for 10 seconds.At this time, pressure is applied over the ulnar and radial arteries as to occlude (block) both of them. The pulse oximeter reading will begin to fall. Radial arterial pressure is then released. If the artery is patent (working), the pulse oximeter reading will begin to rise.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
To determine if there is a difference in complication rate measured at 30 days between radial and femoral catheterization	30 days

Collaborators and Investigators

• Sponsor: Creighton University
• Investigators: Principal Investigator: Michael White, MD, Creighton University

Study record dates

Study Major Dates

• Study Start: June 1, 2010
• Primary Completion (Actual): August 1, 2015
• Study Completion (Actual): August 1, 2015

Study Registration Dates

• First Submitted: November 20, 2009
• First Submitted That Met QC Criteria: November 23, 2009
• First Posted (Estimate): November 25, 2009

Study Record Updates

• Last Update Posted (Estimate): November 30, 2015
• Last Update Submitted That Met QC Criteria: November 27, 2015
• Last Verified: November 1, 2015

More Information

Terms related to this study

• Keywords: radial vs femoral; radial artery cardiac catheterization
• Other Study ID Numbers: 09-15552