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| Name | Class |
|---|---|
| British Heart Foundation | OTHER |
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The investigators will study Radial artery injury and endothelial function following trans-radial cardiac catheterisation. Radial artery injury will be quantified pre- and post- angiography using Optical Coherence Tomography. The participants will also have radial endothelial function assessed using flow-mediated dilatation at baseline, 24 hours, one week, one month and three months post- angiography. Blood will be taken pre and 24 hours post angiography for characterisation of endothelial progenitor cell numbers and function. The hypothesis is that trans-radial catheterisation will cause a reduction in flow-mediated dilatation which peaks at 24 hours and recovers at three months. The investigators hope to correlate the rate of this recovery with peri-procedural progenitor cell numbers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients post- cardiac catheterisation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coronary angiography | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Flow-mediated dilatation | Radial artery flow-mediated dilatation will be assessed at the above stated time points | baseline, 24 hours, one week, four weeks and three months post-angiography |
| Measure | Description | Time Frame |
|---|---|---|
| Radial artery injury | Optical coherence tomography examination of the radial artery will be made at baseline and following sheath insertion. | Baseline and up to 1 hour Post angiograpy sheath insertion |
| Endothelial progenitor cell number an function Endothelial progenitor cell number and function |
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Inclusion Criteria:
Exclusion Criteria:
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Stable outpatient population attending for angiography
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| Name | Affiliation | Role |
|---|---|---|
| Andrew J Mitchell, MBChB | University of Edinburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical research facility University Royal Infirmary of Edinburgh | Edinburgh | Midlothian | eh164sa | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29080864 | Derived | Mitchell A, Fujisawa T, Mills NL, Brittan M, Newby DE, Cruden NLM. Endothelial Progenitor Cell Biology and Vascular Recovery Following Transradial Cardiac Catheterization. J Am Heart Assoc. 2017 Oct 28;6(11):e006610. doi: 10.1161/JAHA.117.006610. |
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| ID | Term |
|---|---|
| D050197 | Atherosclerosis |
| ID | Term |
|---|---|
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Baseline and at 24 hours post-angiogram |