Blood thinner after heart procedure: hope for artery health, but trial stopped short
NCT ID NCT03630055
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether taking the blood thinner rivaroxaban for 7 days after heart catheterization via the wrist could prevent the wrist artery from becoming blocked. About 930 adults were planned, but the trial was stopped early. The main goal was to see if the artery stayed open at 30 days, while also checking for major bleeding risks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Rivaroxaban (Xarelto), a blood thinner
- What this could lead to
- If it worked, a short course of rivaroxaban could reduce the risk of radial artery blockage after heart catheterization, preserving the artery for future use.
- What could go wrong
- The trial was terminated early, so we don't have enough data to know if it works or is safe. Blood thinners like rivaroxaban also raise the risk of bleeding.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
930 people
The number who actually took part.
- Started
-
Oct 2018
- Finished
-
Jun 2025
- 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 Hide 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: 1. Willing and able to provide written informed consent 2. Age ≥ 18 years 3. Diagnostic coronary angiography or percutaneous coronary intervention via the transradial approach Exclusion Criteria: 1. Presence of a palpable hematoma or clinical concern of hemostasis at the transradial access site 2. Access or attempted access at a second site - including contralateral radial artery, brachial, or femoral artery or vein 3. Planned staged procedure, CABG or noncardiac surgery within 30 days 4. Contraindication or high risk of bleeding with anticoagulation 1. bleeding requiring medical attention in the previous 6 months 2. thrombocytopenia (platelets\<50 x 109/L) 3. prior intracranial hemorrhage 4. use of IIb/IIIa during percutaneous coronary intervention 5. administration of thrombolytic therapy in the preceding 24 hours 6. use of non-steroidal anti-inflammatory medications 7. ischemic stroke or transient ischemic attack diagnosed in the last 3 months 5. Cardiogenic shock 6. Ventricular arrhythmias refractory to treatment 7. Liver dysfunction (Child-Pugh class B or C) 8. Unexplained anemia with a Hgb below 100 g/L 9. History of medication noncompliance or risk factor for noncompliance 10. Active malignancy 11. Allergy to rivaroxaban 12. Another indication for anticoagulation 13. CYP3A4 and P-glycoprotein inhibitor use 14. Life expectancy \<30 days 15. Women capable of pregnancy not on birth control 16. Chronic kidney disease with creatinine clearance of less than 30mL/min 17. History of antiphosphopholipid antibody syndrome
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Kingston Health Sciences Center
Kingston, Ontario, K7L 2V7, Canada
-
Mayo Clinic
Rochester, Minnesota, 55905, United States
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University of Ottawa Heart Institute
Ottawa, Ontario, K1Y4W7, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- 20,000 patients to help uncover best practices for wrist artery access
- Wrist access heart procedure: does the tool matter?
- New study tests safer wrist access for heart patients with blocked arteries
- Could skipping routine heparin be safer for heart patients?
- Timing of blood thinner injection could prevent artery blockage after heart procedure