About this trial
The purpose of the RIVA-RAO study is to determine whether the use of Rivaroxaban is an effective treatment of radial artery occlusion (RAO) after cardiac catheterization (both angiography and PCI). This is a prospective, single-center, randomized controlled, open-label study that will randomize patients with RAO into two groups, one receiving Rivaroxaban and the other receiving no anticoagulation. RAO will be detected by radial artery ultrasound up to 24 hours after the procedure.
Study objectives:
Primary objective:
To evaluate the effect of treatment with Rivaroxaban, in patients (both symptomatic and asymptomatic) with RAO after a coronary catheterization procedure (both angiography and percutaneous coronary intervention-PCI), in improving patency rates of the radial artery at 4 weeks after the procedure, compared with no-anticoagulation treatment.
Secondary objectives:
To compare local access site and systemic complications (bleeding events, pseudoaneurysm, arteriovenous fistula) at 4 weeks after the procedure between the two groups.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients (both male and female) undergoing a coronary catheterization procedure (both angiography and PCI) through the transradial access and having successfully received at least one radial artery sheath of any size at the end of the procedure
Radial artery occlusion confirmed by ultrasound (2D, Doppler, colour)
Disqualifiers
Age < 18 years
Unable to provide informed written consent
Any contraindication to receive Rivaroxaban
Trial design
Parallel
Treatments tested in this trial
Rivaroxaban
DrugPatients with RAO that will receive p.o. tabs Rivaroxaban 20 mg q.d.
Treatment groups
Trial outcomes
Primary outcomes
Radial artery patency
Radial artery patency at 4 weeks after the procedure, evaluated with radial artery ultrasound.
Secondary outcomes
Bleeding events
To compare bleeding events (based on the BARC bleeding definition) at 4 weeks after the procedure.
Sponsors and contacts
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