Ultrasound-guided versus fluoroscopy-guided large-bore femoral access in percutaneous coronary intervention (PCI) of complex coronary lesions: the international, multicentre, randomised ULTRACOLOR Trial
Authors' conclusion
As compared to fluoroscopy-guided access, the routine use of ultrasound-guided access for large-bore transfemoral complex PCI did not significantly reduce clinically relevant bleeding or vascular access site complications. A significantly higher first-pass puncture success rate was demonstrated for ultrasound-guided access.
Study context
- Population
- Patients undergoing complex PCI mandating large-bore (≥7 Fr) transfemoral access (median age 71; 76% male; 68% chronic total occlusion PCI)
- Participants
- 544 patients
- Comparison
- Ultrasound-guided vs fluoroscopy-guided large-bore femoral access
Methodological detailsinternational, multicentre, 10 European centres
- International
- Multicentre
- 10 European centres
Primary result
As reported in the abstract
P = 0.32
Further findings
First-pass puncture success
P = 0.02
Time in catheterisation laboratory
P = 0.43
- Time in catheterisation laboratory: group order inferred from abstract sequence ("102 minutes versus 105 minutes")
Safety
MACE · 1 month
P = 0.32
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Ultrasound-guided versus fluoroscopy-guided large-bore femoral access in PCI of complex coronary lesions: the international, multicentre, randomised ULTRACOLOR Trial. EuroIntervention. Published 15 July 2024. doi:10.
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