Radial Vs. State-Of-The-Art Femoral Access for Bleeding and Access SIte Complication Reduction in Cardiac Catheterization (REBIRTH)
Minneapolis Heart Institute Foundation
Summary
This is a phase IV, prospective, open label, randomized-controlled study that will compare radial access with state-of-the-art femoral access in patients without ST-segment elevation acute myocardial infarction undergoing cardiac catheterization. Subjects will be randomized 1:1 into 2 treatment groups: radial access and state-of-the-art femoral access. Randomization will be performed in blocks of 50 per site. Similarly, a second sub-randomization will be performed in the femoral access group into use of 18 vs 21 gauge needles, also in a 1:1 fashion.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Age 18 years and older * Undergoing diagnostic angiography for ischemic symptoms with possible PCI, or undergoing planned urgent or elective PCI * Has provided informed consent and agrees to participate * Patients must be equally eligible to undergo cardiac catheterization via radial or femoral access Exclusion Criteria: * Primary PCI for STEMI * Planned right heart catheterization * Valvular heart disease requiring valve surgery within 30 days after the index procedure * Hemodialysis access (arteriovenous fistula or graft) in the arm to be used for PCI in case of assi…
Interventions
- ProcedureRadial Access
Radial Access
- ProcedureState-of-the-art femoral access with 18 gauge needle
State-of-the-art femoral access with 18 gauge needle
- ProcedureState-of-the-art femoral access with 21 gauge needle
State-of-the-art femoral access with 21 gauge needle. For patients randomized to micropuncture (21G) the micropuncture wire must be advanced under fluoroscopy to avoid inadvertent wiring of side-branches.
Locations (6)
- San Francisco VA Medical CenterSan Francisco, California
- Mayo Clinic FloridaJacksonville, Florida
- Joseph Maxwell Cleland Atlanta VA Medical CenterDecatur, Georgia
- Henry Ford HospitalDetroit, Michigan
- Minneapolis Heart Institute FoundationMinneapolis, Minnesota
- Oklahoma Heart HospitalOklahoma City, Oklahoma