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An accelerated hemostasis protocol following transradial cardiac catheterization is safe and may shorten hospital stay: a single-center experience.

Abstract：

INTRODUCTION:Hemostasis following transradial cardiac catheterization is achieved by external pressure application using various devices, TR Band being one. There is no standardized protocol for the application and removal of such devices. OBJECTIVE:To assess the safety and feasibility of a more rapid (1 hour) initiation of TR Band removal ([time to wean] TTW1) compared to a recommended 2 hour protocol (TTW2) in a controlled prospective study. METHODS:100 consecutive outpatients undergoing diagnostic transradial cardiac catheterization prospectively underwent an accelerated initiation of post-procedure TR Band removal (TTW1 group). The controls were a random historical cohort of 25 patients who had the conventional 2 hours to wean approach (TTW2). RESULTS:The mean age was 62 years with a mean BMI of 29 kg/m(2); 51% were hypertensive and 9% were on warfarin anticoagulation. As defined, the median times to TR Band weaning were 60 minutes and 120 minutes for TTW1 and TTW2 groups, respectively, p < 0.001. TTW1 patients had more oozing leading to insignificant delay in the weaning process (16% vs 4% in the TTW2 group, p = NS). The total time, however, from TR Band application to removal was significantly shorter in the TTW1 group compared to TTW2 (median of 120 minutes [mean 127] vs 180 minutes [mean 187], p < 0.001). There were no differences in any prespecified complications. CONCLUSION:A rapid 1-hour commencement of TR Band weaning following transradial diagnostic cardiac catheterization appears to be safe. It shortens the overall device removal time and may shorten hospital stay in day-case procedures.

journal_name

J Interv Cardiol

journal_title

Journal of interventional cardiology

authors

Carrington C,Mann R,El-Jack S

doi

10.1111/j.1540-8183.2009.00501.x

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

571-5

issue

6

eissn

0896-4327

issn

1540-8183

pii

JOIC501

journal_volume

22

pub_type

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