Two HEmostasis Methods After TransradIal Catheterization: THEMATIC - protocol for a randomized clinical trial

Abstract

OBJECTIVE Randomized clinical trial protocol to evaluate the incidence of radial artery occlusion with two different arterial compression devices after transradial procedures. METHODS Barbeau’s test will be performed in adults scheduled to undergo transradial interventional procedures. Those with A, B, or C plethysmographic patterns will be selected. At the end of the procedure, patients will be randomly assigned (1:1) to receive patent haemostasis with TR Band™ device or conventional haemostasis with an elastic adhesive bandage. The primary outcome is the incidence of radial artery occlusion. Secondary outcomes are Barbeau’s test curve change, additional time to achieve haemostasis, incidence of bleeding at the puncture site, pain severity, development of arteriovenous fistula, radial pseudo aneurysm, any access-site complication requiring vascular surgery intervention and costs between the two devices. DISCUSSION The results of this trial should provide valuable additional information on the best approach for haemostasis after transradial percutaneous cardiovascular interventions.

Nursing care for patients submitted to cine coronary angiography and the nurse's role in the vascular sheath removal

“…Evaluation of palmar arch patency should be performed in advance to prevent vascular complications related to radial puncture. The Allen Test is a simple application technique that allows to verification of the double blood supply of the hand by evaluating the radial and ulnar arteries (Santos et al, 2018).…”

Effects of Acupoint Massage, Finger and Handgrip Exercise on Edema and Hand Pain After Transradial Approach for Coronary Procedure

“…The hemostatic device consisting of 1 compactly folded gauze and TR band were used to compress the wound after the operation. [3] The gauze that was positioned above the arterial puncture site, secured by the TR band which was a spiral pressure device that relaxes and tightens by rotating. It usually rotated 3 turns after surgery to prevent hemorrhage.…”

“…The transradial approach (TRA) for cardiac catheterization is considered as the preferred access site(level evidence, A; class I recommendation) in European guidelines [2]. Compressor device such as TR band device (Anscare Medical, Jiangsu, China) is recognized to obtain hemostasis via radial access after sheath removal [3].…”

Radial artery access for neuroendovascular procedures: safety review and complications

“…Manual compression can be more effective than mechanical compression in performing patent hemostasis without any difference in the incidence of radial artery occlusion, and also achieves hemostasis in a shorter duration (14-22 min vs 2-3 hours) and at a lower cost than mechanical compression. [46][47][48] Despite its advantages, manual compression is not widely adopted as first line because it usually demands prolonged post-procedural involvement of the interventional team.…”