Comparison of Success Rate Between Distal Radial Approach and Radial Approach in STEMI
Distal Radial Artery Approach, ST Elevation Myocardial Infarction
About this trial
This is an interventional treatment trial for Distal Radial Artery Approach focused on measuring Distal radial approach, ST Elevation Myocardial Infarction
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 20 years
- ST-segment elevation myocardial infarction
- Palpable unilateral distal radial and radial artery
Exclusion Criteria:
- Cardiogenic shock
- Thrombolysis before primary percutaneous coronary intervention
- Inability to obtain written informed consent
- Patient with ipsilateral arteriovenous fistula
- Participation in another ongoing clinical trial
- Pregnancy
Expected lifespan <12 months
* Eligible operator criteria
- Qualified operator who had experienced ≥ 100 cases of distal radial artery puncture
Sites / Locations
- Kangwon National University College of MedicineRecruiting
- Wonju Severance Christian HospitalRecruiting
- The Catholic university of Korea Uijeongbu St. Mary's hospitalRecruiting
- Yongin Severance Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Placebo Comparator
Distal radial artery
Radial artery
After subcutaneous injection of lidocaine, the distal radial artery around the bony surface area is punctured with a 20-gauge venipuncture catheter needle or steel needle according to the operator's discretion. After successful puncture, flexible, straight plastic 0.025" mini-guidewire is inserted through the hole of the puncture needle. Then, Radifocus® introducer sheath (Terumo, Tokyo, Japan) is inserted into the distal radial artery.
After subcutaneous injection of lidocaine, the radial artery is punctured with a 20-gauge venipuncture catheter needle or steel needle according to the operator's discretion. After successful puncture, flexible, straight plastic 0.025" mini-guidewire is inserted through the hole of the puncture needle. Then, Radifocus® introducer sheath (Terumo, Tokyo, Japan) is inserted into the radial artery.