Usefulness of continuous compression using TR Band™ for radial arteriovenous fistula following trans-radial intervention

Hashimoto, Shingo; Shiraishi, Jun; Kimura, Miwako; Nishikawa, Marie; Yanagiuchi, Takashi; Ito, Daisuke; Kishita, Eigo; Yokoi, Hiroyoshi; Hyogo, Masayuki; Shima, Takatomo; Sawada, Takahisa; Kohno, Yoshio

doi:10.1016/j.jccase.2015.08.007

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…Recent data point to considering hemostatic devices as an economical and simple method of therapeutic option and non-invasive treatment of vascular complications, such as pseudoaneurysm and arteriovenous fistula (19)(20) . Another feature of the compression device is that it can be reused several times, although a little more costly.…”

Section: Discussionmentioning

confidence: 99%

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%

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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“…Palpable thrill 2. Pain 2 months later Doppler ultrasound Surgery Good Hashimoto et al [ 19 ] 61/M 1. Painful swelling 2.…”

Section: Discussionmentioning

confidence: 99%

“…In the previous cases, nearly half of the compression therapy had failed, and surgery or endovascular treatment was eventually employed. In particular, the successful cases were treated at the early stage of the disease (about 1 month), while failed cases were diagnosed late (almost 1 year) [ 3 , 9 , 14 , 16 , 19 , 21 ]. Taking this into account, we believed that compression therapy could work as intended, but care must be taken of the adaptive time.…”

Section: Discussionmentioning

confidence: 99%

Radial arteriovenous fistula complicated with ischemic steal syndrome after transradial cardiac catheterization: a case report and literature review

2022

BMC Surg

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Background The radial arteriovenous fistula (AVF) is a rare complication occurring after transradial cardiac catheterization. Patients with AVF typically present with signs of venous dilation, such as swelling or palpable thrills. However, neurological complications secondary to radial AVFs are rare. This paper reported a rare case of ischemic steal syndrome that occurred 11 months after the transradial cardiac catheterization, most likely as a consequence of radial arteriovenous fistula. Case presentation This paper described a case of a 73-year-old female, who complained of right forearm swelling and radial 1–3 fingers numbness for several months after the catheterized stent surgery through radial approach. Upon Clinical examination, this patient presented with a slight bump and palpable thrill at the distal third of right forearm, and the sensory of radial 1–3 fingers and pinch force was compromised. The Ultrasonography and computed tomography angiography (CTA) of the upper extremity revealed AVF between the right radial artery and the adjacent vein. Microsurgery was performed successfully to ligate the fistula and reconstruct the radial artery. The numbness has gradually improved about 1 week after the surgery, with no recurred swelling. The two-point pinch force and digital sensitivity recovered at the 20-month follow-up. What’s more, due to the scarcity of cases, the optimal therapy for iatrogenic radial AVF is controversial. Accordingly, we provided a literature review of previous reports of catheter-related radial AVFs and proposed an algorithm to manage them. Conclusions We believe that once an AVF is diagnosed, early treatment options such as compression or surgery are necessary to relieve symptoms and prevent further complications. Otherwise, serious complications can occur, including the ischemic steal syndrome.

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“…PTCA via trans-radial route is now more common compared to the trans-femoral route in view of less complication and more patient comfort. 1 Vascular complication includes radial artery occlusion, pseudoaneurysm, and AVF. In the RIVAL study, none out of 3507 patients in trans-radial route developed AVF in the trans-radial route.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 Burzotta et al reported 9 (0.08%) of the 10676 patients who developed AVF post trans-radial access. 1,4 AVF can develop due to combined unnoticed puncture of the superficial vein and radial artery during access; however, in most cases the communication seals spontaneously. The factors responsible for radial AVF include less operator experience, multiple puncture attempts, inadequate compression for hemostasis.…”

Section: Discussionmentioning

confidence: 99%

Retrograde radial arteriovenous fistula, post coronary artery intervention

Garg

Patel

Sharma

et al. 2020

Preprint

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Usefulness of continuous compression using TR Band™ for radial arteriovenous fistula following trans-radial intervention

Cited by 7 publications

References 10 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

Radial arteriovenous fistula complicated with ischemic steal syndrome after transradial cardiac catheterization: a case report and literature review

Retrograde radial arteriovenous fistula, post coronary artery intervention

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