Key result
In patients undergoing transradial coronary procedures, hemostatic compression for more than two hours was a strong independent predictor of radial artery occlusion (OR 63.076).
Why the study?
Radial artery occlusion is a major concern following transradial procedures, but vascular Doppler evaluation has not been practiced in this population.
Cross-Sectional (n=125)
No
Odds Ratio: 63.076 (95% CI 3.89–1022.636)
p-value: p=0.004
In patients undergoing transradial coronary procedures, radial artery occlusion occurred in 9.6% of cases, with diabetes mellitus and hemostatic compression exceeding 2 hours identified as strong independent predictors.
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Should not yet alter hemostasis protocols; leaves open whether shorter compression prevents RAO in trials.
Matin et al. (2019) conducted a cross-sectional in Coronary artery disease (n=125). Hemostatic compression > 2 hours vs. Hemostatic compression ≤ 2 hours was evaluated on Radial artery occlusion (RAO) (OR 63.076, 95% CI 3.890-1022.636, p=0.004). In patients undergoing transradial coronary procedures, hemostatic compression for more than two hours was a strong independent predictor of radial artery occlusion (OR 63.076).
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