| Autor: |
Chiang CY; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District.; Department of Optometry, Chung Hwa University of Medical Technology, Rende District., Chang WT; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District., Ho CH; Department of Medical Research, Chi-Mei Medical Center, Yong-Kang District.; Department of Hospital and Health Care Administration., Hong CS; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District., Shih JY; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District., Wu WS; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District., Chen ZC; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District., Chou MT; Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District.; Department of Recreation and Healthcare Management, Chia Nan University of Pharmacy and Science, Rende District, Tainan City, Taiwan. |
| Abstrakt: |
Radial artery occlusion (RAO) occurs in 2% to 18% of patients after transradial access (TRA) cardiac catheterization. Using a kaolin-filled pad (QuikClot) reduces compression time during TRA and might reduce RAO. We examined the RAO risk with the kaolin-filled pad after TRA cardiac catheterization.This was a prospective cross-sectional study of 260 patients who underwent TRA cardiac catheterization in a cardiac ward of a Medical Center from 2012 to 2016. Patients were randomly assigned to 1 of 2 groups: the case group (n = 130) was postoperatively treated with a kaolin-filled pad, and the control group (n = 130) was treated with conventional hemostasis. Color duplex ultrasound was used to evaluate the 24-hour and 1-month postoperative radial artery flow velocity, diameter, patency, and RAO risk.RAO risk was not significantly different between the case and control groups after 24 hours (4.6% vs 5.4%, P = .776) or after 1 month (5.4% vs 6.1%, P = .789), regardless of whether it was a first TRA cardiac catheterization (after 24 hours [P = .153] or after 1month [P = .617], respectively) or a repeated TRA cardiac catheterization (after 24 hours [P = .754] or after 1month [P = .753], respectively).Using a kaolin-filled pad after TRA cardiac catheterization did not significantly reduce RAO risk compared with conventional hemostasis. |
