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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Femoral | Subjects receiving femoral artery cardiac catheterization |
| |
| Radial | Subjects receiving radial artery cardiac catheterization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Allen's test | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| To determine if there is a difference in complication rate measured at 30 days between radial and femoral catheterization | 30 days |
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Inclusion Criteria:
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Patients presenting at Creighton University Medical Center Cardiac Catheterization laboratory for either radial or femoral cardiac catherization
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| Name | Affiliation | Role |
|---|---|---|
| Michael White, MD | Creighton University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Creighton University Medical Center | Omaha | Nebraska | 68131 | United States | ||
| The Cardiac Center at Creighton University |
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| ID | Term |
|---|---|
| D001157 | Arterial Occlusive Diseases |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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|
| Distal pulses | Other | Practitioner will check that the dorsalis pedis and posterior tibialis are palpable. |
|
| Omaha |
| Nebraska |
| 68131 |
| United States |