Randomized clinical study on radial artery compression time after elective coronary angiography

Authors

  • Maria Aparecida de Carvalho Campos Universidade Federal de São Paulo, Hospital São Paulo https://orcid.org/0000-0002-1691-2421
  • Claudia Maria Rodrigues Alves Universidade Federal de São Paulo, Hospital São Paulo
  • Miriam Harumi Tsunemi Universidade Estadual Paulista Júlio de Mesquita Filho, Instituto de Biociências
  • Maria Angélica Sorgini Peterlini Universidade Federal de São Paulo, Escola Paulista de Enfermagem
  • Ariane Ferreira Machado Avelar Universidade Federal de São Paulo, Escola Paulista de Enfermagem

DOI:

https://doi.org/10.1590/1518-8345.2584.3084

Keywords:

Cardiac Catheterization, Occlusion, Radial Artery, Hemostasis, Complications, Nursing

Abstract

Objective: to compare two compression times of the radial artery after coronary angiography with customized compressive dressing regarding the occurrence of hemostasis and vascular complications. Method: a randomized clinical study was carried out in patients undergoing elective transradial coronary angiography in two study groups: (G30), whose compressive dressing was maintained for 30 minutes, and (G60), whose compressive dressing was maintained for 60 minutes, both until the first evaluation of hemostasis. Variables related to patients, procedure, occurrence of hemostasis, and vascular complications were analyzed. Patency of the radial artery was assessed with Doppler vascular ultrasonography, immediately after removing the compressive dressing and 30 days after the procedure. Results: the sample consisted of 152 patients in G30 and 151 in G60. Hemostasis was evidenced in the first evaluation in 76.3% of G30 patients and 84.2% of G60 patients (p = 0.063). There were 91 immediate complications, being 53 hematomas and 38 occlusions of the radial artery. We identified 18 late occlusions, 7 (5.5%) in G30 and 11 (8.2%) in G60. Conclusion: the different compression times of the radial artery after coronary angiography did not significantly influence the occurrence of hemostasis and vascular complications. Brazilian Registry of Clinical Trials (Rebec): RBR-7VJYMJ.

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Published

2019-03-29

Issue

Vol. 26 (2018)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Randomized clinical study on radial artery compression time after elective coronary angiography. (2019). Revista Latino-Americana De Enfermagem, 26, e3084. https://doi.org/10.1590/1518-8345.2584.3084