Coronary Disease Clinical Trial
Official title:
A Randomized Comparison of TR Band Hemostatic Compression Patterns After Transradial Coronary Intervention
The purpose of the study is to investigate the protective effects of short term TR Band compression on transradial coronary occlusion after transradial coronary intervention.
Radial artery occlusion (RAO), an infrequent but serious complication after transradial
coronary intervention (TRI), prevents subsequent use of the same radial artery for coronary
angiography and intervention. Comparing to the overseas counterparts, most Chinese medical
workers put more emphasis on prevention of postoperative puncture site bleeding, so longer
compression hemostasis time is applied but this prolonged compression may underestimate or
even ignore an increasing risk of RAO. Therefore, this study intends to compare short term
TR Band compression and the routine long term one on transradial coronary occlusion after
transradial coronary intervention.
Participants allocated to the control group will receive a routine long term postoperative
puncture site compression via TR Band. In control group, TR Band deflation is commenced at
the 2nd hour with successive 5 mL air released at 2 hours intervals until the bladder was
empty at the 6th hour, and the TR Band is removed at the 24th hour.
Participants allocated to the experimental group will receive a short term postoperative
puncture site compression via TR Band. In experimental group, TR Band deflation is commenced
at the 1st hour with 3 mL air released, and at the 2nd hour with 5ml, and at the 3rd hour
with the remainder air in the bladder, and the TR Band is removed at the 12th hour.
At the 24th hour, RAO incidence, postoperative puncture site bleeding incidence and patient
comfort level will be evaluated.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention
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