Use of a Selective Radial Compression Device to Prevent Radial Artery Occlusion After Coronary Invasive Procedure

Abstract

Background: In addition to providing greater comfort and convenience for the patient, the radial approach is associated to lower rates of vascular complications and major bleeding, with potential impact on morbidity and mortality. Thus, the adoption of strategies that reduce the risk of arterial occlusion after invasive procedures, enabling it to be reused, is desirable. Methods: Controlled prospective registry evaluating the impact of routine adoption of a selective radial compression device in patients with acute coronary syndrome without ST-segment elevation undergoing early invasive stratification through the radial access. Arterial patency was assessed by the Barbeau test at hospital discharge and at the 30-day follow-up. Results: Fifty-nine patients were evaluated, of which 83% underwent ad hoc percutaneous coronary intervention. Mean age was 64 ± 12.2, 66.1% were male and 28.8% had diabetes mellitus. The right radial access was used in 98.3% of cases, the number of catheters was 2.4 ± 0.6, with a diameter of 6 F in all cases, and the duration of the procedure was 32.4 ± 12.7 minutes. Spasm was reported in 10.2% of cases, hematoma > 5 cm in 3.4% and occlusion of the radial artery after the procedure and at 30 days in 6.8% and 3.4% of the cases, respectively. Conclusions: The TR Band ® radial compression device is safe and effective in obtaining reduced rates of radial artery occlusion after invasive coronary procedures.

Complicações na descompressão da pulseira hemostática compressiva: uma revisão integrativa

“…A utilização da artéria radial para procedimento coronário invasivo (ICP) é de grande interesse por delimitar inúmeras vantagens exibindo custo-efetividade comprovada, em maior evidência estão, o conforto do paciente pós-procedimento possibilitando o retorno mais rápido em suas atividades, diminuição do período de internação e gastos hospitalares, diminuição nos índices de intercorrências no local da punção em comparação com a artéria femoral, reduzindo o risco de hemorragia, morte e morbimortalidade (Barbosa, et al, 2014).…”