Evaluation of Radial Artery Patency after Transradial Catheterization

Santos, Marcela Almeida dos; Borba, Rafael Pereira de; Moraes, Cláudio Vasques de; Voltolini, Ismael; Azevedo, Eduardo Bessa; Cardoso, Carlos Roberto; Souza, Emiliane Nogueira de; Moraes, Maria Antonieta; Cardoso, Cristiano de Oliveira

doi:10.1016/s2214-1235(15)30086-7

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…The use of radial access is recognized as a safe way of performing cardiac diagnostic catheterization and percutaneous coronary interventions (PCI), and in the literature, different compression methods for hemostasis have been described (1,(3)(4) . The present study examined the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization with use of a hemostatic device for radial compression during a 4-hour period.…”

Section: Discussionmentioning

confidence: 99%

“…The radial pathway has been widely used in percutaneous cardiovascular procedures, since it allows performing complex interventions with reduction of intensity and duration of hemostasis after arterial pressure, and is associated with lower rates of vascular complications and major bleedings with potential impact on morbidity and mortality (1)(2)(3)(4) . Another important factor of this approach is the preferential choice by patients, because it provides greater comfort in recovery after the intervention by enabling early ambulation and shorter hospitalization time (5)(6) .…”

Section: Introductionmentioning

confidence: 99%

“…However, occurrences of this magnitude are infrequent and should not be considered limiting. Data from the literature describe a low incidence of RAO when diagnosed clinically or by ultrasound (1,(9)(10) . Multiple radial artery catheterizations, larger doses of heparin, longer compressions, and use of a larger caliber introducer are the most common predisposing factors for these complications (11) .…”

Section: Introductionmentioning

confidence: 99%

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Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Córdova

Santos

Toebe

et al. 2018

Rev. esc. enferm. USP

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Objective: To examine the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization and using a hemostatic device for arterial compression. Method: A prospective cohort study conducted with patients undergoing elective cardiac catheterization in two hemodynamic laboratories in southern Brazil. The TR Band® radial compression device was used during 4 hours for hemostasis of the arterial puncture site. Hematomas and minor bleeding were the outcomes evaluated. Results: A total of 244 patients were evaluated. The mean age was 63.5±10.9 years, 61.9% were male, 73.8% had systemic arterial hypertension (SAH) and 42.8% were dyslipidemic. Type I hematoma occurred in 1.2% of patients and minor bleeding in 9% after removal of the device. There was no significant association between hematomas and bleeding, and patients who used oral anticoagulants (p=0.604) and prior use of antiplatelets (p=0.958). Conclusion: The use of the hemostatic device for radial artery compression was safe in clinical practice and there was a low incidence of hematomas and minor bleeding after radial coronary angiography.How to cite this article: Córdova ESM, Santos LR, Toebe D, Moraes MAP, Souza EN. Incidence of hemorrhagic complications with use of a radial compression device: a cohort study. Rev Esc Enferm USP. 2018;52:e03410.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Córdova

Santos

Toebe

et al. 2018

Rev. esc. enferm. USP

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“…The sample size was calculated in the WinPepi 11.25 software environment, taking into account a 95% confidence level, a 5% margin of error, and a proportion of 50%, on the basis of the existing literature (2,(6)(7) . The sample size was thus estimated at 385 patient records.…”

Section: Methodsmentioning

confidence: 99%

“…Few studies have addressed this topic as a primary outcome in this setting (6)(7)(8) ; in others, pain was assessed a secondary or less important outcome (2) . It is known that inadequate management of postoperative pain can prolong hospitalization, increase healthcare expenditures, and have several clinical repercussions, including changes in blood pressure and respiratory rate, anxiety, emotional stress, and sleep disorders, among others (9)(10) .…”

Section: Introductionmentioning

confidence: 99%

Pain assessment and management in patients undergoing endovascular procedures in the catheterization laboratory

Hilário

Santos

Krüger

et al. 2017

Rev. esc. enferm. USP

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Objective:To describe how pain is assessed (characteristic, location, and intensity) and managed in clinical practice in patients undergoing endovascular procedures in the catheterization laboratory setting. Method: Cross-sectional study with retrospective data collection. Results: Overall, 345 patients were included; 116 (34%) experienced postprocedural pain; in 107 (92%), pain characteristics were not recorded; the location of pain was reported in 100% of patients, and its intensity in 111 (96%); management was largely pharmacologic; of the patients who received some type of management (n=71), 42 (59%) underwent reassessment of pain. Conclusion: The location and intensity of pain are well reported in clinical practice. Pharmacologic pain management is still prevalent. Additional efforts are needed to ensure recording of the characteristics of pain and its reassessment after interventions. DESCRIPTORSPain; Acute Pain; Pain Management; Endovascular Procedures; Nursing Care. Pain assessment and management in patients undergoing endovascular procedures in the catheterization laboratoryAvaliação e manejo da dor em pacientes submetidos a procedimentos endovasculares em laboratório de hemodinâmica Evaluación y tratamiento del dolor en pacientes sometidos a procedimientos endovasculares en el laboratorio de cateterismo INTRODUCTIONEndovascular procedures involve the insertion of radiopaque catheters, via percutaneous venous or arterial puncture (femoral, brachial, or radial) under fluoroscopy guidance, to arrive at the desired location (heart, peripheral vessels, cerebral vessels). These procedures are carried out in catheterization laboratories ("cath labs") for purposes both diagnostic (evaluation of blood flow) and therapeutic (treatment of obstructions, stenoses, or correction of aneurysmal lesions) (1) . A common complaint of patients undergoing endovascular procedures is acute pain at the vascular access site or discomfort in the chest and lower back area, which may be related to bedrest, restricted movement of the accessed limb, to the trauma of vascular puncture itself, or to the potential vascular complications that may develop during the procedure (2)(3)(4) . However, other pain complaints, such as back pain or headache, are also very common in this setting (2)(3)(4)(5)(6) . Considering that the high turnover and dynamics of cath lab work may hinder proper care of pain, staff must pay special attention to assessment, management, and systematic recording of pain levels.Despite substantial growth of endovascular procedures in recent decades (3)(4)(5) , assessment of pain in the post-procedural period does not appear to be a major concern of care teams. Few studies have addressed this topic as a primary outcome in this setting (6)(7)(8) ; in others, pain was assessed a secondary or less important outcome (2) . It is known that inadequate management of postoperative pain can prolong hospitalization, increase healthcare expenditures, and have several clinical repercussions, including changes in blood pr...

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Accesos vasculares femoral y radial en intervenciones coronarias percutáneas en síndrome coronario agudo y enfermedad crónica inestabilizada

Vélez¹,

Valencia²,

Gómez

et al. 2018

Revista Colombiana de Cardiología

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Evaluation of Radial Artery Patency after Transradial Catheterization

Cited by 4 publications

References 24 publications

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Pain assessment and management in patients undergoing endovascular procedures in the catheterization laboratory

Accesos vasculares femoral y radial en intervenciones coronarias percutáneas en síndrome coronario agudo y enfermedad crónica inestabilizada

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