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To investigate whether omitting systemic anticoagulation during transradial coronary angiography and/or a distal radial access reduce the risk of postprocedural radial artery occlusion
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Other | Traditional puncture site + no anticoagulation |
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| Group 2 | Other | Traditional puncture site + ACT-guided anticoagulation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Traditional punkcture site and No anticoagulation | Other | Traditional punkcture site and No anticoagulation |
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| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of postprocedural RAO | Will be the occurrence of postprocedural RAO assessed with high-resolution vascular ultrasound. Experienced sonographers will perform color Doppler ultrasound in all study patients after removal of the compression device to examine the radial, ulnar, and brachial arteries of the access forearm. | Day 1 |
| Bleeding events | Will be bleeding events according to Bleeding Academic Research Consortium (BARC) criteria. | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Sonographic characteristics of radial artery occlusion | Occlusion lengths or minimal residual perfusion | 3 Month |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40191883 | Derived | Stiermaier T, Grunewalder M, Patz T, Rawish E, Joost A, Meusel M, Marquetand C, Kurz T, Schmidt T, Frerker C, Fuernau G, Eitel I. Distal access and procedural anticoagulation to prevent radial artery occlusion after coronary angiography - the randomised RAPID trial. EuroIntervention. 2025 Apr 7;21(7):e366-e375. doi: 10.4244/EIJ-D-24-00846. |
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| Traditional punkcture site and ACT-guided anticoagulation | Other | Traditional punkcture site and ACT-guided anticoagulation |
|