Cor Vasa 2018, 60(2):e122-e126 | DOI: 10.1016/j.crvasa.2017.07.003
Patent hemostasis and comparison of two compression devices after transradial coronary catheterization and intervention
- Kardiologické oddělení, Komplexní kardiovaskulární centrum, Fakultní nemocnice Plzeň, Lékařská fakulta Plzeň, Univerzita Karlova v Praze, Plzeň, Česká republika
Aim: The aim of this study was to compare two compression devices after transradial coronary catheterization and intervention.
Methods: Out of 280 consecutive patients who underwent cardiac catheterization and intervention (n = 74) as a part of a same-day discharge program, 140 patients were applied the TR Band (TB) compression device and 140 the Seal-One (SO) compression device. The time needed to achieve patent hemostasis, duration of compression and local complications were assessed.
Results: In the TB group, patent hemostasis was achieved in 17.5 ± 10.3 min, in the SO group in 21.4 ± 10.5 min (p = NS). The duration of radial artery compression was 90.7 ± 38.4 min in the TB group and 64.0 ± 26.5 min in the SO group (p < 0.001). The incidence of hematomas ≥ 5 cm did not differ between the two groups (6.4% vs. 6.4%, p = NS), the incidence of hematomas larger than 10 cm was 0.7% in the TB group and 1.4% in the SO group (p = NS). No radial artery occlusion or other local complications were found.
Conclusion: Postprocedural radial artery compression with TR Band and Seal-One devices is associated with early patent hemostasis and a short duration of compression. The use of the Seal-One device was related to a shorter mean compression time in this study. No radial artery occlusion at discharge, nor any other local complications occurred following the radial artery compression, except for several clinically insignificant hematomas.
Keywords: Compression device; Local complications; Patent hemostasis; Radial approach
Received: March 15, 2017; Revised: July 12, 2017; Accepted: July 14, 2017; Published: April 1, 2018 Show citation
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