Ignite Creation Date:
2024-05-06 @ 6:49 PM
Last Modification Date:
2024-10-26 @ 2:55 PM
Study NCT ID:
NCT05790603
Status:
RECRUITING
Last Update Posted:
2024-07-11
First Post:
2023-02-22
Brief Title:
Effect of Patent Hemostatic Device PHD With Quantitative Pressure on Radial Artery Hemostasis After CAGPCI
Sponsor:
Peking University First Hospital
Organization:
Peking University First Hospital
Study Overview
Official Title:
Effect of Patent Hemostatic Device PHD With Quantitative Pressure on Radial Artery Hemostasis After CAGPCIa Randomized Controlled Trial
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PCI
Brief Summary:
The objective of this clinical trial is to compare the hemostatic effect of 2 hemostatic devices with or without quantitative pressure on radial arteries after coronary angiography CAG or percutaneous coronary intervention PCI The main questions aims to answer
What is the hemostatic effect of the patent hemostatic device with quantitative pressure after percutaneous coronary intervention
What are the precise hemostatic pressure and hemostatic time of the radial artery after CAGPCI Participants will be randomly assigned to the intervention group IG and control group CG The IG will use patent hemostatic device with quantitative pressure PHDQP-Band China while the CG will use the conventional radial artery hemostatic device TR-Band Japan without pressure monitoring
The primary outcomes is incidence of 24h radial artery occlusion 24h RAO Secondary outcomes include time to hemostasis bleeding hematoma 30d radial artery occlusion 30d RAO pain hand swelling numberness pseudoaneurysm and radial artery stenosis
What is the hemostatic effect of the patent hemostatic device with quantitative pressure after percutaneous coronary intervention
What are the precise hemostatic pressure and hemostatic time of the radial artery after CAGPCI Participants will be randomly assigned to the intervention group IG and control group CG The IG will use patent hemostatic device with quantitative pressure PHDQP-Band China while the CG will use the conventional radial artery hemostatic device TR-Band Japan without pressure monitoring
The primary outcomes is incidence of 24h radial artery occlusion 24h RAO Secondary outcomes include time to hemostasis bleeding hematoma 30d radial artery occlusion 30d RAO pain hand swelling numberness pseudoaneurysm and radial artery stenosis
Detailed Description:
The objective of this clinical trial is to compare the hemostatic effect of 2 hemostatic devices with or without quantitative pressure on radial arteries after percutaneous coronary intervention The main questions aims to answer
What is the hemostatic effect of the patent hemostatic device after percutaneous coronary intervention
What are the precise hemostasis pressure and hemostasis time of the radial artery after percutaneous coronary intervention
Participants will be randomly assigned to the intervention group IG and control group CG
For the participants assigned to the IG the radial systolic pressure will be measured after TRA procedure The PHD-Band with quantitative pressure WEGO Medical Products Group CO LTD China will be placed at the entry site of the sheath Connecting the hemostatic devices to the electric pneumatic machine with a connecting cable After removing the radial sheath the puncture site will be compressed by operators hand The PHD-Band with quantitative pressure will be inflated with specific pressure radial systolic pressure plus 10mmHg and the hand will slowly release the pressure If bleeding occurs the PHD-Band will be deflated with 5-10mmHg automatically by parameter setting with the electric pneumatic machine until the bleeding stops The PHD-Band will be deflated with20 mmHg 40 mmHg of decreased pressure following 1h and 2h after the procedure After 3 hours the hemostatic pressure will be released to 45mmHg and the PHD-Band will be removed if no bleeding occurs If rebleeding occurs the band will be inflated according to the previous pressure for another an hour until bleeding stops
For the participants assigned to the CG the TR-Band Terumo Medical Corporation Japan will be placed at the entry site of the sheath after TRA procedure and inflated with 10 mL of air and the radial sheath will be removed with hand compression Another 5 mL of air will be inflated and the operators hand will slowly release the pressure The TR band will be inflated until bleeding stopped with the maximum air volume no more than 18ml The band will be deflated with 1 mL of air hourly for the following 2 hours after the procedure After 3 hours the band will be deflated with 4 mL of air first and then all volume of the rest air if no bleeding occurs and then the band will be removed if no bleeding occurs If rebleeding occurs the band will be inflated with 1 mL of air until bleeding stops
For all enrolled participants the investigators will record the complications such as bleeding subcutaneous hematoma pain hand swelling numbness pseudoaneurysm after the operation Radial artery occlusion subcutaneous hematoma pseudoaneurysm and radial artery stenosis were confirmed by arterial ultrasound within 24 hours and 30 days after surgery
What is the hemostatic effect of the patent hemostatic device after percutaneous coronary intervention
What are the precise hemostasis pressure and hemostasis time of the radial artery after percutaneous coronary intervention
Participants will be randomly assigned to the intervention group IG and control group CG
For the participants assigned to the IG the radial systolic pressure will be measured after TRA procedure The PHD-Band with quantitative pressure WEGO Medical Products Group CO LTD China will be placed at the entry site of the sheath Connecting the hemostatic devices to the electric pneumatic machine with a connecting cable After removing the radial sheath the puncture site will be compressed by operators hand The PHD-Band with quantitative pressure will be inflated with specific pressure radial systolic pressure plus 10mmHg and the hand will slowly release the pressure If bleeding occurs the PHD-Band will be deflated with 5-10mmHg automatically by parameter setting with the electric pneumatic machine until the bleeding stops The PHD-Band will be deflated with20 mmHg 40 mmHg of decreased pressure following 1h and 2h after the procedure After 3 hours the hemostatic pressure will be released to 45mmHg and the PHD-Band will be removed if no bleeding occurs If rebleeding occurs the band will be inflated according to the previous pressure for another an hour until bleeding stops
For the participants assigned to the CG the TR-Band Terumo Medical Corporation Japan will be placed at the entry site of the sheath after TRA procedure and inflated with 10 mL of air and the radial sheath will be removed with hand compression Another 5 mL of air will be inflated and the operators hand will slowly release the pressure The TR band will be inflated until bleeding stopped with the maximum air volume no more than 18ml The band will be deflated with 1 mL of air hourly for the following 2 hours after the procedure After 3 hours the band will be deflated with 4 mL of air first and then all volume of the rest air if no bleeding occurs and then the band will be removed if no bleeding occurs If rebleeding occurs the band will be inflated with 1 mL of air until bleeding stops
For all enrolled participants the investigators will record the complications such as bleeding subcutaneous hematoma pain hand swelling numbness pseudoaneurysm after the operation Radial artery occlusion subcutaneous hematoma pseudoaneurysm and radial artery stenosis were confirmed by arterial ultrasound within 24 hours and 30 days after surgery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None