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There is no evidence from prospective randomized clinical trials regarding the performance of conventional (two-catheter-concept; TCC) versus one-catheter-concepts (OCC) for invasive coronary angiography over the radial access.
The aim of the present trial is to evaluate the efficacy and safety of different one-catheter concepts by use of the BLK and Tiger catheter compared to a TCC using standard Judkins catheters in diagnostic coronary angiography via transradial access. Patients with stable angina pectoris will be randomly assigned to coronary angiography performed with the BLK or Tiger (OCC) or Judkins catheters (TCC). The primary endpoint is coronary angiography duration.
The aim of the present trial is to evaluate the efficacy and safety of a one-catheter concept using the BLK (Terumo, Somerset, USA) or the Tiger catheter (Terumo, Somerset, USA) compared to the standard Judkins catheters in diagnostic coronary angiography by the transradial access. Patients with stable angina pectoris will be randomly assigned to coronary angiography performed with the BLK (Group I), Tiger (Group II) or Judkins catheters (Group III). Primary endpoint is the time duration (sec) that is necessary to perform complete coronary angiography including 6 different projections for the left-coronary system and 3 different projections of the right-coronary-system. Secondary endpoints will cover safety and imaging quality of the different catheter systems.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BLK catheter | Experimental | Coronary angiography will be performed with the BLK catheter (one-catheter concept). |
|
| Tiger catheter | Experimental | Coronary angiography will be performed with the Tiger catheter (one-catheter concept). |
|
| Judkins catheter | Active Comparator | Coronary angiography will be performed with the Judkins catheter (standard catheter). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| One-catheter concept | Device | Coronary angiography will be performed using the one-catheter concept. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Coronary angiography Duration (sec) | assessed by Intention-to-treat analysis (IIT) | Day 0 (corresponding to time point of procedure) |
| Measure | Description | Time Frame |
|---|---|---|
| Cross over rate to another catheter or transfemoral access. | Day 0 (corresponding to time point of procedure) | |
| Flouroscopy time (sec) | Day 0 (corresponding to time point of procedure) | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David M Leistner, PD | Department of Cardiology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Cardiology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin | Berlin | 12203 | Germany |
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| Standard catheter | Device | Coronary angiography will be performed using a standard catheter. |
|
| Contrast volume (ml) |
| Day 0 (corresponding to time point of procedure) |
| Safety endpoints (kinking, radial spasm, vascular access complications, bleeding complications). | Day 0 (corresponding to time point of procedure) |
| Imaging Quality (ostial stability, diagnostic value) | Day 0 (corresponding to time point of procedure) |