Subcutaneous Nitroglycerin to Facilitate Trans-radial Access.
Status:
Unknown status
Trial end date:
2018-04-15
Target enrollment:
Participant gender:
Summary
Femoral artery approach to perform coronary procedures is considered the standard technique
for vascular access due to optimal catheter control, lower thromboembolic complications and
immediate access due to the large diameter of the artery. Trans-radial approach has been
shown to reduce major bleeding complications, vascular complications related to the site of
puncture, including death from all causes, and to prevent post-procedure limb rest, greater
comfort for patients, immediate ambulation, early discharge and reduction of costs. Previous
studies have shown that intravenous, topical and intraarterial use of nitroglycerin produces
vasodilation of the radial artery. Extravascular (subcutaneous) administration of
nitroglycerin is extremely effective in restoring the radial pulse, and allows adequate
cannulation.