is a minimum of 120 minutes of haemostasis. However studies have shown that increasing haemostasis times are associated with increased incidence of radial artery occlusions. Methods: The departmental policy at Wollongong Hospital is for a TR band removal time of less than 120 minutes. A retrospective analysis of a registry-style database of 730 cases of trans-radial haemostasis (CA n=590, PCI n=140) radial artery approach cardiac catheterisation were analysed according to the band times and outcomes including bleeding complications in patients. Results: The average time of band removal was 62.7 minutes overall (PCI t=79.2 minutes, CA t=46.2 minutes) with 80% (n=670) of cases recorded to have no complications. Overall 20% of PCI (n=27) and 21.2%of CA (n=124) were noted to have bleeding events ranging from slight to large haematoma or bruising. The overall incidence of large haematoma or bruising was 0.8% (n=6). There were no documented cases of radial artery occlusion in our dataset. Conclusion: Accelerated band removal time may be justified but with careful consideration in regards to accepting risk of minor bleeding complications. Our study can be expanded to prospectively assess for hypoplastic radial artery in conjunction with accelerated removal times.
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