Postprocedural Radial Artery Compression Time In Chronic AnticoaguLated patients using StatSeal: The PRACTICAL-SEAL study

2021 ◽  
Author(s):  
Rodrigo Bagur ◽  
Luiz F. Ybarra ◽  
Zeev Israeli ◽  
Amir Solomonica ◽  
Hussein Taleb ◽  
...  
Keyword(s):  
Radial Artery ◽  
Compression Time ◽  
Anticoagulated Patients

scholarly journals POSTPROCEDURAL RADIAL ARTERY COMPRESSION TIME IN CHRONIC ANTICOAGULATED PATIENTS USING STATSEAL. THE PRACTICAL-SEAL FEASIBILITY STUDY

2020 ◽  
Vol 75 (11) ◽  
pp. 1525
Author(s):  
Rodrigo Bagur ◽  
Amir Solomonica ◽  
Hussein Taleb ◽  
Shubrandu Sanjoy ◽  
Zeev Israeli ◽  
...  
Keyword(s):  
Radial Artery ◽  
Feasibility Study ◽  
Compression Time ◽  
Anticoagulated Patients

scholarly journals Post-procedural radial artery occlusion and patency detection using duplex ultrasound vs. the reverse Barbeau test

2020 ◽  
Vol 22 (Supplement_F) ◽  
pp. F23-F29
Author(s):  
Stepan Jirous ◽  
Ivo Bernat ◽  
David Slezak ◽  
Roman Miklik ◽  
Richard Rokyta
Keyword(s):  
Radial Artery ◽  
Duplex Ultrasound ◽  
Artery Occlusion ◽  
Duplex Ultrasonography ◽  
Transradial Approach ◽  
Local Complications ◽  
Compression Time ◽  
First Choice ◽  
Same Day Discharge ◽  
Radial Artery Occlusion

Abstract The transradial approach is recommended as a first choice in coronary catheterizations and interventions, for among other reasons, the reduction in the number of local complications. A head-to-head comparison of the reverse Barbeau test (RBT) and duplex ultrasonography (DUSG) for the detection of post-procedural radial artery patency and occlusion has not yet been evaluated. In 500 patients from our same-day discharge program (age 65 ± 9.4 years, 148 women), radial artery patency and occlusion, compression time, haematomas, and other local complications were evaluated. Radial artery patency was confirmed in 495 patients (99.0%), and complete radial artery occlusion (RAO) was detected in 2 (0.4%) patients using both methods. In 3 patients (0.6%), the RBT was negative, while incomplete RAO was detected by DUSG. Superficial haematomas (˃ 5 but ≤10 cm) were found in 27 (5.4%) patients. There were no other local complications. Detection of radial artery patency and occlusion using the RBT and DUSG was comparable. The incidence of RAO in our study was extremely low. Thanks to its simplicity, the RBT has the potential to be used as the first method of detection of radial occlusion after coronary catheterizations.

Comparison of Clinical Value between Right Distal Radial Artery Access and Right Radial Artery Access in Patients Undergoing Coronary Angiography or Percutaneous Coronary Intervention

2020 ◽  
Author(s):  
Jianhua Fan
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Angiography ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Access Time ◽  
Arterial Access ◽  
Compression Time ◽  
Percutaneous Coronary ◽  
The Right ◽  
Distal Radial Artery

Objective: To compare the feasibility and safety between right distal radial artery access and right radial artery accessin patients undergoing coronary angiography (CAG) or percutaneous coronary intervention (PCI).Methods: On the basis of arterial access, 113 patients who underwent CAG or PCI in Kunshan Hospital of TraditionalChinese Medicine between January and October 2018 were divided into two groups: a right distal radial artery group (52 patients) and a right radial artery group (61 patients). We collected general information, the number of puncture attempts, access times, postoperative compression time, and complications.Results: The general characteristics, rate of successful radial artery puncture, and rate of successful catheter placement inthe two groups were not different. The right radial artery group had fewer puncture attempts (1.26 ± 0.44 times vs. 2.19 ± 0.53times, P = 0.001) and a shorter access time (3.23 ± 0.86 min vs. 4.77 ± 1.49 min, P = 0.001) than the right distal radial arterygroup. However, the postoperative compression time in the right distal radial artery group was shorter (3.44 ± 0.9 h vs.7.16 ± 1.21 h, P = 0.001). Two cases of bleeding, four cases of hematoma, and one case of artery occlusion in the right radialartery group and one case of hematoma in the right distal artery group occurred before discharge. The rate of total complicationsin the right distal radial artery group was lower than in the right radial artery group (1.93% vs. 11.48%, P = 0.048).Conclusion: CAG or PCI through the right distal radial artery is feasible and safe.

Percutaneous coronary intervention in anticoagulated patients via radial artery access

2009 ◽  
Vol 73 (1) ◽  
pp. 44-47 ◽  
Author(s):  
Gérard Helft ◽  
Grégoire Dambrin ◽  
Azfar Zaman ◽  
Claude Le Feuvre ◽  
Olivier Barthélémy ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Anticoagulated Patients

scholarly journals Impact of radial compression protocols on the compression time and radial artery occlusion

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Takamatsu ◽  
N Kagiyama ◽  
T Shiomi ◽  
M Mizobuchi ◽  
N Sone ◽  
...  
Keyword(s):  
Body Size ◽  
Radial Artery ◽  
Major Bleeding ◽  
Artery Occlusion ◽  
Radial Compression ◽  
Complication Rates ◽  
Compression Time ◽  
Significant Difference ◽  
Before And After ◽  
Radial Artery Occlusion

Abstract Background Trans-radial access (TRA) has been established as a safe and established approach for invasive coronary catheter procedures. However, protocols for post-procedural hemostasis varies depending on institutes and an evidence-based protocol is lacking. Purpose The objective of this study was to investigate the clinical implications of procedural hemostasis. Methods Consecutive patients who were referred to outpatient catheter examination before and after April 2018 were treated with an old and a new protocol, respectively. In both protocols, we used the same commercially available hemostasis band with injecting an air of 16 ml for hemostasis. In the old protocol, the amount and timing of deflation were fixed, whereas the air was removed as much as possible for every 30 minutes in the new protocol. Time to complete hemostasis, the rate of major bleeding, and the rate of radial artery occlusion (RAO) at 6 months after the catheter examination were compared between the protocols. Results Total of 1,843 (71±10 years old, 77% male) patients was included in the study. Between patients in the old and the new protocol group (n=1,000 and 843, respectively), there was no significant difference in age, gender, body size, or systolic blood pressure. The new group had significantly higher prevalence of diabetes (47% vs 39%, p=0.002), slightly larger sheath size (4.1±0.3 vs 4.0±0.2 Fr, p<0.001), and lower rate of dual antiplatelet therapy (DAPT: 24% vs. 35%, p<0.001). Time for complete hemostasis was about one-third with the new protocol compared with the old protocol (65±32 vs. 190±16 min, p<0.001) and there was no major bleeding in either group. The rate of radial artery occlusion was 0.7% and 9.8% in the old and the new group (p<0.001). Multivariate analysis showed that the significant predictor of prolonged hemostasis time were the old protocol (odds ratio: OR 80.5, p<0.001) and the prescription of DAPT (OR 2.9, p<0.001), while the factors associated with higher risk of radial occlusion were the old protocol (OR 13.9, p<0.001), the number of previous TRA (OR 1.1, p<0.001), and smaller body size (OR 0.127 per 1 m2 increase p=0.005). Conclusions Our new protocol for hemostasis after TRA was strongly associated with shorter hemostasis time and a lower rate of radial artery occlusion. This approach will decrease the post-procedural hospital time with even fewer complication rates. Study outline Funding Acknowledgement Type of funding source: None

Safety and efficacy of different arterial pressure bandages following percutaneous coronary interventions from radial access: preliminary data of the RAD-PRESS trial

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
B Nemeth ◽  
F Nowotta ◽  
Z Ruzsa ◽  
T Szuk ◽  
D Becker ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cost Effective ◽  
Artery Occlusion ◽  
Percutaneous Coronary Interventions ◽  
Puncture Site ◽  
Hematoma Formation ◽  
Radial Access ◽  
Compression Time ◽  
Percutaneous Coronary ◽  
Radial Artery Occlusion

Abstract Background The overwhelming majority of diagnostic coronary angiographies and percutaneous coronary interventions (PCIs) are performed via radial access as recommended by the current European revascularization guidelines. Using dedicated pressure bandages for the radial access site in high-volume centres can be a significant part of the budget of catheterization laboratories, therefore we developed a cost-effective pressure bandage utilizing wrapped empty glass vials of intravenous medications. Furthermore, compression time of the radial puncture site following PCI is a predictor of radial artery occlusion, therefore shortening the period of compression to as short as possible is feasible. Purpose Our aim was to validate efficacy and safety of our cost-effective pressure bandage by comparing it to two dedicated devices, as well as reducing length of compression to as short as possible. Methods We designed the RAD-PRESS trial, major inclusion criteria of which were first puncture of a radial artery with a diameter greater than 1.8mm, PCI performed as per guidelines utilizing a 6 French guiding catheter and age below 80 years. Patients were then randomized to receive one of three pressure bandages: the glass vial, Seal-One or the gold standard TR-band. Release of pressure was performed as fast as possible in 10-minute steps, and guided by pulse oximetry. Hematoma formation was thoroughly checked for all patients and categorized using the Easy scale. Radial artery patency was investigated by ultrasound 24 hours after final removal of the bandage. The data of 40 patients of every group was analysed. Results Population characteristics were similar among the groups. Length of compression time (126±10, 142±11 and 144±11 mins for Vial, Seal-One and TR-band, respectively, p>0.05), hematoma formation (Easy Grade 1 in 17.5%, 15.0% and 10.0%, Easy Grade 2 in 5.0%, 7.5% and 7.5% for Vial, Seal-One and TR-band, respectively, all p>0.05) were not significantly different among the groups. Radial artery occlusion occurred in only 2 patients (Vial and TR-Band groups), accounting for 1.7% of the cases. Conclusions The cost-effective wrapped vial strategy to compress the radial puncture site was comparable to both Seal-One and the gold standard TR-band regarding safety and efficacy. Furthermore, compression time could be safely shortened to approximately 2.5 hours. Funding Acknowledgement Type of funding source: None

scholarly journals Randomized clinical study on radial artery compression time after elective coronary angiography

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Maria Aparecida de Carvalho Campos ◽  
Claudia Maria Rodrigues Alves ◽  
Miriam Harumi Tsunemi ◽  
Maria Angélica Sorgini Peterlini ◽  
Ariane Ferreira Machado Avelar
Keyword(s):  
Clinical Trials ◽  
Clinical Study ◽  
Coronary Angiography ◽  
Radial Artery ◽  
Vascular Complications ◽  
Study Groups ◽  
Randomized Clinical Study ◽  
Compression Time ◽  
Vascular Ultrasonography

Objective to compare two compression times of the radial artery after coronary angiography with customized compressive dressing regarding the occurrence of hemostasis and vascular complications. Method a randomized clinical study was carried out in patients undergoing elective transradial coronary angiography in two study groups: (G30), whose compressive dressing was maintained for 30 minutes, and (G60), whose compressive dressing was maintained for 60 minutes, both until the first evaluation of hemostasis. Variables related to patients, procedure, occurrence of hemostasis, and vascular complications were analyzed. Patency of the radial artery was assessed with Doppler vascular ultrasonography, immediately after removing the compressive dressing and 30 days after the procedure. Results the sample consisted of 152 patients in G30 and 151 in G60. Hemostasis was evidenced in the first evaluation in 76.3% of G30 patients and 84.2% of G60 patients (p = 0.063). There were 91 immediate complications, being 53 hematomas and 38 occlusions of the radial artery. We identified 18 late occlusions, 7 (5.5%) in G30 and 11 (8.2%) in G60. Conclusion the different compression times of the radial artery after coronary angiography did not significantly influence the occurrence of hemostasis and vascular complications. Brazilian Registry of Clinical Trials (Rebec): RBR-7VJYMJ.

scholarly journals Comparison of Clinical Value between Right Distal Radial Artery Access and Right Radial Artery Access in Patients Undergoing Coronary Angiography or Percutaneous Coronary Intervention

2020 ◽  
Vol 5 (2) ◽  
pp. 103-107
Author(s):  
Wen Pan ◽  
Haixiang Xu ◽  
Qingjun Liu ◽  
Jianhua Fan
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Angiography ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Access Time ◽  
Arterial Access ◽  
Compression Time ◽  
Percutaneous Coronary ◽  
The Right ◽  
Distal Radial Artery

Objective: To compare the feasibility and safety between right distal radial artery access and right radial artery access in patients undergoing coronary angiography (CAG) or percutaneous coronary intervention (PCI).Methods: On the basis of arterial access, 113 patients who underwent CAG or PCI in Kunshan Hospital of Traditional Chinese Medicine between January and October 2018 were divided into two groups: a right distal radial artery group (52 patients) and a right radial artery group (61 patients). We collected general information, the number of puncture attempts, access times, postoperative compression time, and complications.Results: The general characteristics, rate of successful radial artery puncture, and rate of successful catheter placement in the two groups were not different. The right radial artery group had fewer puncture attempts (1.26±0.44 times vs. 2.19±0.53 times, P=0.001) and a shorter access time (3.23±0.86 min vs. 4.77±1.49 min, P=0.001) than the right distal radial artery group. However, the postoperative compression time in the right distal radial artery group was shorter (3.44±0.9 h vs. 7.16±1.21 h, P=0.001). Two cases of bleeding, four cases of hematoma, and one case of artery occlusion in the right radial artery group and one case of hematoma in the right distal artery group occurred before discharge. The rate of total complications in the right distal radial artery group was lower than in the right radial artery group (1.93% vs. 11.48%, P=0.048).Conclusion: CAG or PCI through the right distal radial artery is feasible and safe.

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