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Evaluation of potential nerve damage after radial CAG/PCI.
Prospective patients scheduled for radial CAG/ PCI will be enrolled in the study. Prior to the procedure, sensory and motor nerve examination is performed at the wrists in both arms / hands. The examination is performed on both the median nerve and the ulnar nerve. Each patient acts as their own control. The nerve test is repeated bilaterally 1 month after the procedure. This creates 2 groups, A and B.
Patients will be asked to complete 2 questionnaires in relation to hand and arm symptoms. The patients ability to perform certain activities before and after the CAG/PCI procedure are also addressed. In addition, a diagnostic tool (Katz chart) will be completed, also before and after the CAG/PCI procedure.
Hypothesis:
Radial access is associated with an increased risk of pain and an increased incidence of nerve damage similar to the median nerve at the carpal tunnel or the ulnar nerve at the Guyon's canal.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Access pathway a. radialis (right or left) and neurophysiological measurements of the same hand (ipsilateral intervention group). | ||
| Group B | Access pathway a.radialis (right or left) and neurophysiological measurements of opposite hand (contralateral intervention group). |
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| Measure | Description | Time Frame |
|---|---|---|
| Neurophysiological measurements | The primary aim is the incidence/presence of electrofysiological signs of median and/or ulnar nerve lesion at the wrist and the presence of carpaltunnel syndrom. The electrodiagnosis of carpaltunnelsyndrom will be determined from the clinical picture and signs of prolonged distal motor lantency and reduced motor and sensory nerveconduction velocity across the wrist and/or reduced amplitudes of the median nerve and normal ulnar nerve at the wrist. | Aprox 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Severity of hand symptoms and hand dysfunction | Boston questionaire | 10min |
| Severity of hand symptoms and hand dysfunction | QuickDash questionaire |
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Inclusion Criteria:
Exclusion Criteria:
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Patients suspected of ischemic heart disease scheduled for radial CAG/PCI at Aarhus University Hospital
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christel G Aagren Nielsen | Contact | +45 78452213 | chisnils@rm.dk | |
| Christian J Terkelsen, Professor | Contact | 78452017 | Chriterk@rm.dk |
| Name | Affiliation | Role |
|---|---|---|
| Christian J Terkelsen, Professor | Aarhus University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of cardiology, Aarhus University Hospital in Skejby | Recruiting | Aarhus | 8200 | Denmark |
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| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D002349 | Carpal Tunnel Syndrome |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D020423 | Median Neuropathy |
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| 10 min |
| D020422 |
| Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |