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低分子量肝素用于桡动脉闭塞治疗:LOW-RAO随机研究

Low-molecular-weight heparin in radial artery occlusion treatment: the LOW-RAO randomized study.

作者信息

Didagelos Matthaios, Pagiantza Areti, Zegkos Thomas, Papanastasiou Christos, Zarra Konstantina, Angelopoulos Vasileios, Kouparanis Antonios, Peteinidou Emmanouela, Sianos George, Karvounis Haralambos, Ziakas Antonios

机构信息

1st Cardiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

1 Cardiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Future Cardiol. 2022 Feb;18(2):91-100. doi: 10.2217/fca-2021-0067. Epub 2021 Aug 16.

Abstract

Radial artery occlusion (RAO) is the commonest complication of transradial catheterization. There is no evidence-based therapy, in the frame of a randomized control study, for the treatment of RAO. The purpose of the LOW-RAO study is to question the hypothesis if low-molecular-weight heparin is effective in the treatment of RAO after transradial coronary catheterization (both angiography and percutaneous coronary intervention). It is a prospective, open label, randomized controlled trial that will randomize 60 patients with RAO, irrespective of symptoms, into two groups, one receiving anticoagulation with low-molecular-weight heparin and the other receiving no treatment. The primary end point is improvement in radial artery patency rate at 4 weeks after the procedure. NCT04196309 (ClinicalTrials.gov).

摘要

桡动脉闭塞(RAO)是经桡动脉导管插入术最常见的并发症。在随机对照研究框架内,尚无基于证据的RAO治疗方法。LOW-RAO研究的目的是质疑低分子量肝素在经桡动脉冠状动脉导管插入术(血管造影和经皮冠状动脉介入治疗)后治疗RAO是否有效的假设。这是一项前瞻性、开放标签、随机对照试验,将60例无论有无症状的RAO患者随机分为两组,一组接受低分子量肝素抗凝治疗,另一组不接受治疗。主要终点是术后4周桡动脉通畅率的改善。NCT04196309(ClinicalTrials.gov)

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