Comparison of minimum pressure and patent hemostasis on radial artery occlusion after transradial catheterization
J. invasive cardiol
; 32(4): 147-152, Apr. 2020. tab
Article
in English
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1146032
Responsible library:
BR79.1
Localization: BR79.1
ABSTRACT
ABSTRACT Objectives. The aim of this study was to compare two hemostatic techniques, minimum pressure technique and patent hemostasis, on radial artery occlusion (RAO) after trans-radial catheterization. Background. RAO is an infrequent complication of trans-radial procedures. One of the strategies used to reduce this complication is the patent hemostasis technique. Use of minimum pressure in hemostatic wristband, without monitoring patency, might have the same efficacy for preventing RAO. Methods. This is a multicenter study encompassing patients submitted to trans-radial catheterization. After pneumatic wristband application, the band was deflated to the lowest allowable volume while preserving hemostasis. Radial artery patency was subsequently evaluated. The group with no return of plethysmography curve was labeled "minimum pressure," and the group in which the signal returned was labeled "patent hemostasis." RAO was verified by Doppler evaluation within the first 24 hours of the procedure. Results. A total of 1082 patients were enrolled, with mean age of 61.4 ± 10.4 years. The majority (61.0%) were male and 34.5% had diabetes. Patent hemostasis was achieved in only 213 cases (20%). Early RAO occurred in 16 patients (1.8%) in the minimum pressure group and in 4 patients (1.9%) in the patent hemostasis group (P=.97). No major bleeding was observed among the entire cohort. EASY scale for hematoma grade was similar between the cohorts (EASY grades 1-3 7.0% in the minimum pressure group vs 7.5% in the patent hemostasis group; P=.96). Conclusion. Checking radial patency during hemostatic compression may not be necessary after the procedure when adopting a mild and short hemostatic compression
Full text:
Available
Collection:
National databases
/
Brazil
Database:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Main subject:
Radial Artery
/
Percutaneous Coronary Intervention
/
Hemostasis
Type of study:
Controlled clinical trial
Language:
English
Journal:
J. invasive cardiol
Year:
2020
Document type:
Article
Institution/Affiliation country:
Instituto Dante Pazzanese de Cardiolgia/BR
/
Instituto de Cardiologia de Santa Catarina/BR
/
Santa Casa de Marília/BR