Ignite Creation Date:
2024-10-26 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 3:39 PM
Study NCT ID:
NCT06576128
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-26
Brief Title:
Ultrasound-Guided Transversus Abdominis Plan TAP Block in Endovascular Cardiac Interventions
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Analgesic Effect of Ultrasound-Guided Transversus Abdominis Plan TAP Block in Femoral Endovascular Cardiac Interventions A Prospective-randomized Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Sensory innervation of the femoral region which is the entry point for endovascular cardiac interventions such as coronary angiographycardiac catheterization and percutaneous coronary intervention is complexIt is thought that the ilioinguinal and iliohypogastric nerves contribute mostlyWith transversus abdominis plane blockTAPBit is planned to provide analgesia by creating a block in these nerve branches that contribute to the sensory innervation of the intervention areaIn additionit was aimed to investigate patients and physicians satisfaction during the procedure
Detailed Description:
Cardiac catheterization was first performed by Werner Frossman in the late 1920s when the ureteral catheter was advanced in the antecubital vein and demonstrated by fluoroscopy in the right atrium Over the years this method was developed It has been used for more specific and complicated clinical situations
Coronary angiography was first used for diagnostic purposes in the 1950s It has continued to exist as a gold standard method in the diagnosis and treatment of coronary artery diseases and some other cardiac pathologies until today
For endovascular cardiac interventions femoral brachial and radial arteries are used Blood loss and difficulty in achieving hemostasis are harder in femoral artery interventions than other arteries However it has been observed that the femoral artery is more frequently preferred in endovascular cardiac interventions The reason is that the artery has a large lumen approximately 8-9 mm and continues after the abdominal aorta and iliac artery One of the most important reasons for this is that there is very little anatomical variation The femoral artery can be felt approximately 13 medial to the inguinal ligamentAfter the inguinal ligament the iliac artery commonly it is called the femoral artery Femoral artery is mostly preferred in cardiac interventions Because this region has common iliac artery it is thought to be safer because it comes before the bifurcation of the femoral artery and after the inferior epigastric artery
Transversus abdominis plane block TAPB aims to block the ilioinguinal and iliohypogastric nerves In gynecological urological surgeries colorectal surgeries cholecystectomies and inguinal surgeries it has been used to provide intraoperative and postoperative analgesia
The transversus abdominis plane is between the internal oblique muscle and the transversus abdominis muscle In this plane ilioinguinal and iliohypogastric nerves are located together Ilioinguinal and iliohypogastric nerves originate from the ventral branches of L1 and in some variations T12 may also contribute The sensory innervation of the femoral region where endovascular cardiac interventions are performed is complex It is thought that the ilioinguinal and iliohypogastric nerves contribute mostly TAPB aims to provide analgesia by creating a block in these nerve branches that contribute to the sensory innervation of the intervention area
Coronary angiography was first used for diagnostic purposes in the 1950s It has continued to exist as a gold standard method in the diagnosis and treatment of coronary artery diseases and some other cardiac pathologies until today
For endovascular cardiac interventions femoral brachial and radial arteries are used Blood loss and difficulty in achieving hemostasis are harder in femoral artery interventions than other arteries However it has been observed that the femoral artery is more frequently preferred in endovascular cardiac interventions The reason is that the artery has a large lumen approximately 8-9 mm and continues after the abdominal aorta and iliac artery One of the most important reasons for this is that there is very little anatomical variation The femoral artery can be felt approximately 13 medial to the inguinal ligamentAfter the inguinal ligament the iliac artery commonly it is called the femoral artery Femoral artery is mostly preferred in cardiac interventions Because this region has common iliac artery it is thought to be safer because it comes before the bifurcation of the femoral artery and after the inferior epigastric artery
Transversus abdominis plane block TAPB aims to block the ilioinguinal and iliohypogastric nerves In gynecological urological surgeries colorectal surgeries cholecystectomies and inguinal surgeries it has been used to provide intraoperative and postoperative analgesia
The transversus abdominis plane is between the internal oblique muscle and the transversus abdominis muscle In this plane ilioinguinal and iliohypogastric nerves are located together Ilioinguinal and iliohypogastric nerves originate from the ventral branches of L1 and in some variations T12 may also contribute The sensory innervation of the femoral region where endovascular cardiac interventions are performed is complex It is thought that the ilioinguinal and iliohypogastric nerves contribute mostly TAPB aims to provide analgesia by creating a block in these nerve branches that contribute to the sensory innervation of the intervention area
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None