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| Name | Class |
|---|---|
| Hospital Ernesto Dornelles | OTHER |
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Transradial approach (TRA) reduces vascular complications and access related-bleeding compared to transfemoral approach (TFA). However, this technique has been related to higher radiation exposure during coronary angiography and percutaneous coronary intervention. Previous studies have shown that TRA demands a long learning curve, and procedure success rate increases with operator's experience. Our hypothesis is that the higher radiation exposure during TRA is not a technique issue, but due to operator's expertise.
The aim of this study is to evaluate whether experienced operators with either TRA or TFA can perform diagnostic coronary angiography with similar radiation exposure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trans-radial access | Active Comparator | Coronary angiography performed through trans-radial access |
|
| Trans-femoral access | Active Comparator | Coronary angiography performed through trans-femoral access |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trans-radial | Other | Coronary angiography performed through trans-radial access |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Patient radiation exposure (mGy) | Patient radiation exposure (mGy) | during coronary angiography |
| Measure | Description | Time Frame |
|---|---|---|
| Physician radiation exposure (in uSv) | Physician radiation exposure (in uSv) | during coronary angiography |
| Measure | Description | Time Frame |
|---|---|---|
| Major adverse cardiac events | Major adverse cardiac events (death, stroke and vascular complications) | 30 days |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cristiano O Cardoso, MD, MSc | Instituto de Cardiologia do Rio Grande do Sul | Study Chair |
| Luis M Yordi, MD | Hospital Ernesto Dornelles | Study Director |
| Claudio V Moraes, MD | Insituto de Cardiologia do Rio Grande do Sul | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto de Cardiologia do Rio Grande do Sul | Porto Alegre | Rio Grande do Sul | 90520-000 | Brazil |
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| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Trans-femoral |
| Other |
Coronary angiography performed through trans-femoral access |
|