Radial artery occlusion is one of the complications of transradial catheterization. Prolonged compression with a TR band at the arteriotomy site can increase the risk of radial artery occlusion. We will use a TR band with adrenaline drops, which induce vasoconstriction and potentiate ADP-induced platelet aggregation and activation, to reduce the duration of radial artery compression. radial artery hemostasis, cardiac catheterization, TR band with adrenaline drops
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 years or older 2. Underwent diagnostic or interventional cardiac catheterization via the radial artery at Burapha University Hospital 3. Fully conscious.
Exclusion criteria
Exclusion criteria: 1. Patients with sheaths larger than 6-F in diameter 2. long-term oral anticoagulation continued during the procedure 3. Ipsilateral arteriovenous fistula 4. Clinical instability 5. Barbeau class D on radial plethysmography 6. known vascular disease or deformity of the forearm 7. History of RAO at base line 8. Had developed vascular complications from the procedure 9. Failed to establish radial access.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to complete TR band deflation Duration since TR band insertion and complete deflation The time required to completely deflate the TR band : minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| hematoma 24 hours after cardiac catheterization Grading of hematoma : Garde I, grade II, grade III, grade IV and grade V,radial artery occlusion 24 hours after cardiac catheterization Types of Revere Barbeau test : type A, type B, type C and type D | — |
Countries
Thailand
Contacts
Burapha university