Evaluating Advanced Hemostasis and Ultrasound Guidance Versus Standard Methods in Distal Radial Access for Coronary Procedures

What this Trial Is About

Researchers are evaluating the use of distal radial access DRA compared to conventional transradial access TRA for coronary catheterization procedures. This trial aims to assess whether advanced hemostasis methods and ultrasound-guided puncture can improve the success rate and reduce the time needed for hemostasis with DRA. This is important as DRA may offer safer vascular access with fewer complications, but its success rate and hemostasis duration require further study. The study compares several approaches use of a potassium ferrate hemostatic patch to enhance hemostasis in both distal radial and conventional transradial access, and the use of ultrasound guidance versus conventional guidance for distal radial access puncture. Participants will be randomly assigned to one of these methods. The study measures the duration of hemostasis from the end of the procedure and the success of vascular access placement. Participants will undergo coronary angiography or percutaneous coronary intervention with assigned access and hemostasis methods. Researchers will monitor hemostasis duration and access success, recording the time from anesthesia needle contact to sheath placement. Participants must have palpable radial pulses and meet other inclusion criteria. The total study period spans from enrollment through the procedure and hemostasis monitoring until completion, with no masking of treatment allocation.

Comparing Advanced Hemostasis and Ultrasound-Guided Puncture to Conventional Approaches in Distal Radial Access