Jonathan S Roberts1, Jianli Niu2, Juan A Pastor-Cervantes2. 1. Memorial Regional Hospital, Memorial Cardiac and Vascular Institute, Memorial Healthcare System, Hollywood, FL 33021, USA. Electronic address: jonathanroberts@mhs.net. 2. Memorial Regional Hospital, Memorial Cardiac and Vascular Institute, Memorial Healthcare System, Hollywood, FL 33021, USA.
Abstract
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.
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.
Authors: Péter Kulyassa; Balázs T Németh; Réka Ehrenberger; Zoltán Ruzsa; Tibor Szük; Péter Fehérvári; Marie Anne Engh; Dávid Becker; Béla Merkely; István F Édes Journal: Front Cardiovasc Med Date: 2022-05-27
Authors: Rajeev Anchan; Joseph Venturini; Paul Larsen; Linda Lee; Christopher Fernandez; Stephanie A Besser; Rohan Kalathiya; Jonathan Paul; John Blair; Sandeep Nathan Journal: Catheter Cardiovasc Interv Date: 2021-02-12 Impact factor: 2.585
Authors: Jorge A Roacho-Pérez; Elsa N Garza-Treviño; Nidia K Moncada-Saucedo; Pablo A Carriquiry-Chequer; Laura E Valencia-Gómez; Elizabeth Renee Matthews; Víctor Gómez-Flores; Mario Simental-Mendía; Paulina Delgado-Gonzalez; Juan Luis Delgado-Gallegos; Gerardo R Padilla-Rivas; Jose Francisco Islas Journal: Life (Basel) Date: 2022-07-25