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This trial will compare the procedural success rate between right and left radial approach in patients undergoing coronary angiography and coronary intervention.
The three operators who are proficient in the left radial approach for coronary angiography and coronary intervention will be assigned to the right radial approach for 3 months (phase 1). After then, these three operators will switch approach site to the left radial for another 3 months (phase 2).
Procedural success, time of the procedure, use of contrast agent, and fluoroscopic data will be compared between right radial approach (phase 1) group and left radial approach (phase 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Right radial approach | Active Comparator | Right radial approach for coronary angiography and coronary intervention |
|
| Left radial approach | Active Comparator | Left radial approach for coronary angiography and coronary intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radial approach | Procedure | Approach site for coronary angiography and coronary intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| Procedural success | Finishing coronary angiography/intervention without changing approach site | At the end of procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Puncture time | Duration from the start of local anesthesia infiltration to the insertion of sheath | At the end of procedure |
| Coronary angiography time | Duration from the insertion of sheath to the end of coronary angiography |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wonju Severance Christian Hospital | Wŏnju | Gangwon-do | 26426 | South Korea |
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1~3 months: Right radial approach 4~6 months: Left radial approach
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| At the end of procedure |
| Puncture + Coronary angiography time | Sum of puncture time and coronary angiography time | At the end of procedure |
| Coronary intervention time | Duration from the end of coronary angiography to the end of coronary intervention | At the end of procedure |
| Contrast amount during coronary angiography | Amount of contrast agent used during coronary angiography | At the end of procedure |
| Contrast amount during coronary intervention | Amount of contrast agent used during coronary intervention | At the end of procedure |
| Fluoroscopic dose, dose area product during coronary angiography | Dose area product during coronary angiography | At the end of procedure |
| Fluoroscopic dose, dose area product during coronary intervention | Dose area product during coronary intervention | At the end of procedure |
| Fluoroscopic time during coronary angiography | Fluoroscopic time during coronary angiography | At the end of procedure |
| Fluoroscopic time during coronary intervention | Fluoroscopic time during coronary intervention | At the end of procedure |
| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D060050 | Angina, Stable |
| D000789 | Angina, Unstable |
| D000072658 | Non-ST Elevated Myocardial Infarction |
| D000072657 | ST Elevation Myocardial Infarction |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D000787 | Angina Pectoris |
| D002637 | Chest Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009203 | Myocardial Infarction |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D009336 | Necrosis |
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