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Change of location for Investigators
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Periprocedural management of guidewire placement and removal in patients needing cardiac catheterization by use of marking of the access site and removal procedure due to a graduated scheme
Before elective cardiac catheterization, patients undergo an ultrasound-guided marking of the bifurcation of the common femoral artery in order to access the vascular complication rate compared tho those of non-marked patients.
Concerning the removal of the guided wire, patients will be treated due to a graduated scheme taking care of different risk levels. This procedure should improve clinical routine, but the efficacy and safety have to be assessed. Depending on the risk level, the guide wire will be removed either by an ambulance officer or emergency medical technician, assistant personal of the cardiac catheterization operating room or by a physician specialist in intensive care. Both methods should lead to quality assurance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | patients for elective catheterization without special risks | ||
| 2 | patients for elective catheterization with special risks | ||
| 3 | patients for PCI without GP IIb/IIIa | ||
| 4 | Patients for PCI with GPIIb/IIIa and emergencies |
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| Measure | Description | Time Frame |
|---|---|---|
| Decrease of vascular complications by marking of the access site | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of guide wire removal procedure by using the graduated scheme | 18 months |
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Inclusion Criteria:
Exclusion Criteria:
-
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Patients needing elective cardiac catheterization or PCI or emergency interventions
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| Name | Affiliation | Role |
|---|---|---|
| Emilia Stegemann, MD | RWTH Aachen University Departement of Cardiology, Pulmonology and Vascular Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Medicine, Division of Cardiology, Pulmonology and Vascular Medicine | Aachen | North Rhine-Westphalia | 52074 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25661570 | Derived | Stegemann E, Busch L, Stegemann B, Lauer T, Hoffmann R, Heiss C, Kelm M. Evaluation of a structured training program for arterial femoral sheath removal after percutaneous arterial catheter procedures by assistant personnel. Am J Cardiol. 2015 Apr 1;115(7):879-83. doi: 10.1016/j.amjcard.2015.01.012. Epub 2015 Jan 15. |
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