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D V Ognerubov1, S I Provatorov, A S Tereshchenko

  • 1National Medical Research Center for Cardiology. ferux_2008@mail.ru.

Kardiologiia
|February 4, 2019
PubMed
Summary

Early removal of compression bandages after transradial coronary angiography (TR CA) significantly reduces the rate of radial artery occlusion (RAO). This early removal (4 hours) is safer than the traditional method (24 hours) for patients not on anticoagulants.

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Transradial coronary angiography (TR CA) is a common procedure.
  • Access site complications, such as radial artery occlusion (RAO), can occur.
  • Optimizing post-procedure care is crucial for patient outcomes.

Purpose of the Study:

  • To compare access site complication rates between early (4 hours) and traditional (24 hours) compression bandage removal after TR CA.
  • To evaluate the incidence of radial artery occlusion (RAO) and hematomas.
  • To assess bleeding events requiring re-application of the bandage.

Main Methods:

  • A study involving 392 patients undergoing TR CA.
  • Patients were divided into two groups: early bandage removal (4 hours, n=221) and traditional removal (24 hours, n=171).

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  • Radial artery patency was assessed using the reverse Barbeau test; ultrasound was used for RAO confirmation.

    • Main Results:

    • No RAO was detected in the early removal group (0%) versus 15 cases (8.8%) in the traditional removal group (p<0.05).
    • Hematoma rates were not significantly different between groups.
    • Bleeding requiring re-banding occurred in 0.6% of the early removal group versus 0% in the traditional group (p>0.05).

    Conclusions:

    • Early removal of compression bandages (4 hours) after TR CA is associated with a lower rate of RAO compared to traditional removal (24 hours).
    • Early removal appears safe and effective in reducing a key access site complication.
    • This finding supports optimizing post-procedure protocols for TR CA.