To assess whether modification of a radial artery compression device with an alginate dressing can improve the efficiency and safety of the hemostasis process after coronary intervention through radial artery access. This preliminary randomized controlled trial involved 40 patients undergoing transradial percutaneous coronary intervention (PCI) (right radial access, 6F sheath). Patients were randomly assigned to two groups: the intervention group (pneumatic radial compression with an alginate dressing, with deflation of 5 cc every 15 minutes starting at 90 minutes) and the control group (standard compression without an alginate dressing, with deflation of 3 cc every 15 minutes starting at 120 minutes). The primary outcomes were hemostasis time and vascular complications (rebleeding, hematoma, radial artery occlusion RAO) within 48 hours. Hemostasis time was significantly shorter in the intervention group compared to the control group (141.0 SD=19.0 minutes vs. 198.0 SD=14.0 minutes, P0.050). Modification of the pneumatic radial compression device with alginate dressing and early deflation strategy significantly accelerates post-PCI transradial hemostasis without increasing the risk of vascular complications.
Abda Ali (Wed,) studied this question.