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October 1, 2015Revista Brasileira de Cardiologia Invasiva (English Edition)Open Access

Comparison of conventional compressive dressings vs. wristband devices after catheterization by radial approach

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Why the study?

Does the use of wristband devices improve radial artery patency compared to conventional compressive dressings in patients undergoing coronary procedures via radial access?

Population

528 consecutive patients undergoing coronary angiography and/or percutaneous coronary intervention through…

Comparison

Wristband devices for radial artery hemostasis vs Conventional compressive dressings (n=416)

Design

Cohort

Follow-up

7 days

Key result

Wristband devices for radial artery hemostasis did not significantly improve radial artery patency rates at 7 days compared to conventional compressive dressings (7.1% vs. 3.8%; p=0.20).

Authors

SNSaid Assaf NetoJFJoão Orávio de FreitasSBSérgio Berti

Discussion

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Overview

Wristband devices do not support improved patency after radial access; leaves open any bleeding benefit pending randomized trials.

Study Design

Type

Observational (n=528)

Multicenter

Yes

Structured PICO

Does the use of wristband devices improve radial artery patency compared to conventional compressive dressings in patients undergoing coronary procedures via radial access?

P
Population
528 consecutive patients undergoing coronary angiography and/or percutaneous coronary intervention via radial access, evaluated for hemostasis methods.
E
Exposure
Wristband devices for radial artery hemostasis (n=112)
C
Comparator
Conventional compressive dressings (n=416)
O
Outcome
Patency of the radial artery on the 7th day after the procedure, measured by Dopplersurrogate

Main Result

Absolute Event Rate: 7.1% vs 3.8%

p-value: p=0.20

The use of wristband devices for radial artery hemostasis does not result in higher rates of late arterial patency when compared to conventional compressive dressings, though it may reduce early minor bleeding.

Cite This Study

Neto et al. (2015) conducted an observational in Patients undergoing coronary angiography and/or percutaneous coronary intervention (n=528). Wristband devices vs. Conventional compressive dressings was evaluated on Patency of the radial artery on the 7th day after the procedure, measured by Doppler (p=0.20). Wristband devices for radial artery hemostasis did not significantly improve radial artery patency rates at 7 days compared to conventional compressive dressings (7.1% vs. 3.8%; p=0.20).

synapsesocial.com/papers/6a9ef89b5fc198d2b3904f07https://doi.org/10.1016/j.rbciev.2017.02.014
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of a spasmolytic cocktail to prevent radial artery spasm during coronary procedures2003 · 152 citations
  2. 2Comparison of transradial vs. transfemoral approach in the treatment of acute myocardial infarction with primary angioplasty and abciximab2003 · 93 citations
  3. 3Radial access in patients with ST-segment elevation myocardial infarction undergoing primary angioplasty in acute myocardial infarction: the HORIZONS-AMI trial2011 · 100 citations
  4. 4Transradial approach for coronary angioplasty in the setting of acute myocardial infarction: A dual‐center registry2002 · 102 citations
  5. 5Prevention of radial artery occlusion—Patent hemostasis evaluation trial (PROPHET study): A randomized comparison of traditional versus patency documented hemostasis after transradial catheterization2008 · 531 citations