Benefit of Transradial Approach in Chronic Kidney Disease Population Undergoing Cardiac Catheterization

Korábbi kezelés

• Patients who have previously undergone a coronary artery bypass graft procedure.
• Patients with prior catheterization within the last 5 years.
• Contrast used within the previous 3 weeks.

Más betegség

• Patients with a history of cardiogenic shock.
• Any condition preventing TRA or TFA access.
• Allergy to contrast dye.

Életkor

• Children (under the age of 18).

Egyéb

• Women who are pregnant or expect to become pregnant. Pregnancy tests for women of childbearing potential (WOCHP) will be performed as standard of care.
• Medical, geographical, or social factors making study participation impractical, i.e. documented noncompliance, unable to return for follow-ups and lab draws, etc.
• A positive Allen's Test on the right radial artery.
• Inability to successfully access the artery randomized to use.

• Patients scheduled to undergo non-emergent cardiac catheterization at University Medical Center Hospital, Lubbock, TX from January 2016 to January 2018. Emergent cardiac catheterizations will be defined as a catheterization scheduled < 24 hours from a cardiac event.
• Patients willing to be randomized to TFA or TRA procedure.
• Patients signed and dated the informed consent agreeing to participate in the study.
• Patients with chronic kidney disease, defined as eGFR = 15-59mL/min defined by the MDRD formula. (eGFR is a standard of care measurement for all patients undergoing coronary intervention.).
• Patients ages 18-88 years old.