Comparison of Hemostasis Times with a Chitosan-Based Hemostatic Pad (Clo-SurPlus Radial™) vs Mechanical Compression (TR Band®) Following Transradial Access: A pilot Study
| Autor: | Jonathan S. Roberts, Jianli Niu, Juan A Pastor-Cervantes |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Activated clotting time Percutaneous coronary intervention General Medicine Heparin 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Hematoma medicine.artery Hemostasis Occlusion medicine 030212 general & internal medicine Radial artery Cardiology and Cardiovascular Medicine business medicine.drug Cardiac catheterization |
| Zdroj: | Cardiovascular Revascularization Medicine. 20:871-874 |
| ISSN: | 1553-8389 |
| DOI: | 10.1016/j.carrev.2018.11.026 |
| Popis: | Background Hemostasis following transradial arterial access (TRA) is usually achieved by mechanical compression. This study investigated if use of a chitosan-based hemostatic pad (Clo-SurPlus Radial™) combined with mechanical compression (TR Band®) could shorten hemostasis time after TRA, compared with a TR Band® alone. Methods 40 patients undergoing cardiac catheterization and/or percutaneous coronary intervention were assigned into 4 cohorts post TRA: 10 patients received mechanical compression with a TR Band® alone for 120 min. The other 30 patients received compression with a Clo-SurPlus Radial™ pad combined with a TR Band® for 60 min, 45 min, and 30 min, respectively (n = 10/per cohort). Times to hemostasis and access-site complications were recorded. Results There were no differences in patient characteristics, mean dose of heparin, or mean activated clotting time value at the end of procedure among the four cohorts. Median time to hemostasis with the TR Band® alone was 120.5 min versus 60 min, 45 min and 30 min for the 60-min, 45-min, and 30-min Clo-SurPlus Radial™ pad combined with the TR Band® cohorts, respectively. No radial artery occlusion, late rebleeding nor hematoma was noted in this series of patients. Conclusions In this pilot trial, use of a Clo-SurPlus Radial™ pad in combination with a TR band® significantly shortened hemostasis time, as compared to a TR band® alone, with no increased complications noted. |
| Databáze: | OpenAIRE |
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