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[Effects of bandage compression and the specific radial hemostasis in patients undergoing transradial coronary
Qing Yang1, Yu-Jie Zhou, Bin Nie
112th Division, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Insights
Specific hemostasis devices significantly improve compression time and patient quality of life after transradial coronary intervention compared to elastic bandages, with similar complication rates.
Area of Science:
- Cardiovascular Interventions
- Vascular Access Management
- Interventional Cardiology
Background:
- Transradial coronary intervention is a common procedure.
- Effective hemostasis after radial artery puncture is crucial.
- Traditional elastic bandages are widely used but may have limitations.
Purpose of the Study:
- To compare the efficacy of elastic bandage compression versus specific hemostasis devices.
- To evaluate vascular-related complications, compression time, and patient comfort.
- To identify risk factors for complications in transradial procedures.
Main Methods:
- Randomized controlled trial involving 2910 patients undergoing transradial coronary intervention.
- Patients were assigned to elastic bandage (ER), T-band (TB), or balloon (TR) groups.
- Primary endpoint was in-hospital vascular-related complication; secondary endpoints included compression time, fibroplasia, and comfort.
Main Results:
- Overall vascular complication rates were similar across all groups (P = 0.262).
- Independent risk factors for complications included female sex, low body weight, prolonged procedure, and multiple punctures.
- Specific devices (TB and TR) demonstrated superior compression time, reduced fibroplasia, and enhanced patient comfort compared to elastic bandages (ER).
Conclusions:
- Both elastic bandages and specific radial hemostasis devices are safe and effective for transradial coronary intervention.
- Specific radial devices offer significant advantages in reducing compression time and improving patient quality of life.
- Risk factor identification aids in optimizing post-procedural care and minimizing complications.
Objective:
To compare the effects of elastic bandage compression with the specific hemostasis devices in patients undergoing transradial coronary intervention.
Methods:
A total of 3000 consecutive patients were randomized to 3 groups and 2910 patients completed the study, 963 patients in elastic bandage group (ER), 976 in T band group (TB) and 971 in balloon group (TR). In-hospital vascular related complication was the primary study endpoint. The secondary endpoints included: risk factors of complications, compression time, fibroplasia conditions and the comfort feeling of patients.
Results:
The overall incidence of vascular related complication in 3 groups was similar (P = 0.262). Female, low body weight, prolongation of procedure and multi-punctures were identified as the independent risk factors for complications. Moreover, the compression time and the fibroplasia condition in TB and TR group were superior to those in the ER group. Comfortable feeling of the patients was better in TR and TB group than in ER group (P < 0.001).
Conclusions:
Both conventional bandage device and specific radial device are feasible and associated with low incidence of vascular complication. However, the specific radial device has significant advantage over bandage strategy in compression time and quality of life.
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