Two HEmostasis Methods After TransradIal Catheterization

Abstract

Objective The aim of this study was to compare the effect of 2 hemostasis devices on the incidence of radial artery occlusion (RAO) after transradial cardiac catheterization. Background Radial artery occlusion is the most prevalent ischemic complication after radial artery catheterization. There is still no predictive pattern of vessel patency assessment, and the comparative effectiveness of different hemostasis techniques has yet to be established. Methods This study used a randomized clinical trial of adult patients undergoing transradial cardiac catheterization. Participants were randomized into an intervention group (hemostasis with the TR Band device) and a control group (hemostasis with a conventional pressure dressing). The primary end point was the incidence of RAO (at discharge and at 30 days post catheterization). Results Among the 600 patients included (301 in the intervention group and 299 controls), immediate RAO occurred in 24 (8%) in the TR Band group and 19 (6%) in the pressure-dressing group; at 30 days, RAO was present in 5 patients (5%) in the TR Band group and 7 (6%) in the pressure-dressing group. On multivariate analysis, peripheral vascular disease was the only independent predictor of RAO at discharge and at 30 days. Conclusions The incidence of RAO was similar in patients who received hemostasis with a TR Band versus a pressure dressing after transradial cardiac catheterization.

Comparison of the effects of three kinds of hand exercises on improving limb function in patients after transradial cardiac catheterization

“…All enrolled patients received dual antiplatelet therapy. The hemostatic device consisting of 1 compactly folded gauze and a TR band was used to compress the wound after the operation [ 3 ]. The gauze positioned above the arterial puncture site was secured by the TR band, which is a spiral pressure device that relaxes and tightens by rotating.…”

“…The transradial approach (TRA) is the recommended technique by the European Society of Cardiology guidelines for PCI in acute coronary syndrome [ 1 , 2 ]. Also, the TR band (Anscare Medical, Jiangsu, China) is a compression device that assists in radial artery hemostasis after TRA [ 3 ]. With increasing experience of coronary angiography, TRA complication rate is decreasing; yet, new complications and risks are being described, such as artery occlusion, radial artery spasm, radial artery pseudoaneurysm, arteriovenous fistula, nerve damage, complex regional pain syndrome with different incidence [ 4 ].…”

Hemostasis after transradial coronary intervention by rotary compression device with sterile gauze is associated with more adverse events: a retrospective study

“…It is available for use to achieve hemostasis with a decreased incidence of complications [8]. Several studies indicate that hemostatic compression devices have advantages in clinical usage, such as easy operation, good hemostatic effect, and speedy recovery of patients [9][10][11].…”

Study on the Safety of the New Radial Artery Hemostasis Device

“…e application of radial hemostatic devices is widely used, especially in TR Band. Many studies have shown that TR Band has advantages in clinical use, such as simple operation, good hemostatic effect, and low complication rates [9][10][11]. In this study, a sample of a new radial artery hemostatic device based on a patent was evaluated by comparing its effectiveness, safety, and comfort with the TR Band and analyzing clinical data to provide new ideas and directions for the development of hemostats in the future.…”