BACKGROUND: The use of the transradial approach has increased steadily, thanks to the availability of consistent data supporting their safety and effectiveness. Although radial artery occlusion is a rare and mostly asymptomatic complication, its occurrence prevents reuse of radial access in future procedures. METHODS: Prospective study assessing consecutive patients undergoing percutaneous coronary intervention (PCI) by radial access using the TR BandTM radial compression device to obtain hemostasis and maintain anterograde flow, according to the new protocol proposed to handle the device. RESULTS: From February to March 2011, 30 patients undergoing PCI using the TR BandTM to obtain hemostasis after the procedure were included in the study. Twenty-seven (90%) patients reported comfort and no wrist pain; arterial oxygen saturation remained > 90% in 29 (96.6%) patients; there was no episode of arterial occlusion, and pulse was present after compression and at discharge in all cases; and hemostasis was obtained within the interval and with the removal of pre-established volume of air in 26 (86.7%) patients. CONCLUSIONS: The TR BandTM radial compression device is a safe and effective strategy to achieve hemostasis, maintaining anterograde flow after PCI. The use of the protocol proposed for the management of the device proved to be feasible and easy to apply, without demanding frequent assessments that may discourage a more extensive use of this device.
Hemostasis; Radial artery; Compression devices
