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Hand vs. wrist: which route to the heart is safer during a heart attack?

NCT ID NCT05605288

Disease control Sponsor: University Hospital of Patras Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jul 06, 2026 · Last updated Jul 07, 2026 · Updated 1 time

Summary

This trial compares two ways to insert a catheter into the heart during a heart attack: through the wrist (conventional) or through the hand (distal). The goal is to see which method is faster and causes fewer complications, such as blocking the wrist artery. About 550 heart attack patients will take part, and doctors will measure procedure times and check for artery blockages before discharge.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If the hand approach works better, it could become the new standard for heart attack procedures, reducing complications like artery blockage.
What could go wrong
This is a single-center trial with 554 patients, so results may not apply to all hospitals or patients. The hand approach may be harder for doctors to perform.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

554 people

The number who actually took part.

Started

May 2024

Finished

Jun 2026

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age \> 18 years old * Indication: ST-Elevation Myocardial Infraction Exclusion Criteria: * Non-palpable radial artery * Previous CABG * Anatomical restrictions for forearm approach * Hemodynamic instability * Previous radial artery catheterization from the same arm during the last 30-days

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Conditions

The condition(s) this trial relates to.

coronary artery disorder ST-elevation myocardial infarction

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Coronary artery disease Coronary catheterization Distal transradial artery Percutaneous coronary intervention Primary pci ST elevation myocardial infarction Transradial artery

Contacts and locations

Locations

  • Department of Cardiology, Centre Hospitalier Universitaire de Charleroi

    Charleroi, Belgium

  • Department of Cardiology, Geneva University Hospitals, Geneva, Switzerland.

    Geneva, Switzerland

  • University Hospital of Patras

    Pátrai, 26500, Greece

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