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

Abstract

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.

Study on the Safety of the New Radial Artery Hemostasis Device

“…Regarding the safety of the radial artery hemostats device, this study found no statistically significant differences between the two groups in terms of the incidence of complications such as bleeding, ecchymosis, hematoma, skin damage, and local infection after removal of the device (P > 0.05), and this is also close to the findings reported in some other studies [11,[22][23][24].…”

“…e application of radial hemostatic devices is widely used, especially in TR Band. Many studies have shown that TR Band has advantages in clinical use, such as simple operation, good hemostatic effect, and low complication rates [9][10][11]. In this study, a sample of a new radial artery hemostatic device based on a patent was evaluated by comparing its effectiveness, safety, and comfort with the TR Band and analyzing clinical data to provide new ideas and directions for the development of hemostats in the future.…”

Do We Still Need to Assess Post-procedural Radial Artery Compression Time and Radial Artery Occlusion in Patients Who Undergo Transradial Coronary Intervention?

“…The TR band has been found in numerous studies to be more effective in achieving hemostasis. The incidence of hematoma or hemorrhage during TR band radial compression has been reported to be 14-26% in the literature [ 10 , 15 - 17 ]. In the study by Wang et al, 14% of the patients had a hematoma in the TR band group while 12% of the patients had a hematoma in the new compression device group.…”

Complicações vasculares e fatores relacionados a sua ocorrência após procedimentos hemodinâmicos percutâneos

“…9 Por isso, o encerramento vascular ao final do procedimento hemodinâmico, compreendido pela compressão manual e/ou por meio do uso de dispositivos de hemostasia, deve ser realizado com eficácia e efetividade. [6][7]10 Estudos…”