Incidence of hemorrhagic complications with use of a radial compression device

a cohort study

Authors

  • Eliane Silva Machado Córdova Fundação Universitária de Cardiologia do Rio Grande de Sul, Instituto de Cardiologia
  • Lidiane Rodrigues dos Santos Fundação Universitária de Cardiologia do Rio Grande de Sul, Instituto de Cardiologia
  • Daiane Toebe Fundação Universitária de Cardiologia do Rio Grande de Sul, Instituto de Cardiologia, Programa de Residência Multiprofissional em Saúde
  • Maria Antonieta Pereira de Moraes Fundação Universitária de Cardiologia do Rio Grande de Sul, Instituto de Cardiologia
  • Emiliane Nogueira de Souza Universidade Federal de Ciências da Saúde de Porto Alegre

DOI:

https://doi.org/10.1590/s1980-220x2017041003410

Keywords:

Cardiac Catheterization, Hemodynamics, Radial Artery, Cardiovascular Nursing

Abstract

Objective: To examine the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization and using a hemostatic device for arterial compression. Method: A prospective cohort study conducted with patients undergoing elective cardiac catheterization in two hemodynamic laboratories in southern Brazil. The TR Band® radial compression device was used during 4 hours for hemostasis of the arterial puncture site. Hematomas and minor bleeding were the outcomes evaluated. Results: A total of 244 patients were evaluated. The mean age was 63.5±10.9 years, 61.9% were male, 73.8% had systemic arterial hypertension (SAH) and 42.8% were dyslipidemic. Type I hematoma occurred in 1.2% of patients and minor bleeding in 9% after removal of the device. There was no significant association between hematomas and bleeding, and patients who used oral anticoagulants (p=0.604) and prior use of antiplatelets (p=0.958). Conclusion: The use of the hemostatic device for radial artery compression was safe in clinical practice and there was a low incidence of hematomas and minor bleeding after radial coronary angiography

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Published

2019-02-27

Issue

Section

Original Article

How to Cite

Córdova, E. S. M., Santos, L. R. dos, Toebe, D., Moraes, M. A. P. de, & Souza, E. N. de. (2019). Incidence of hemorrhagic complications with use of a radial compression device: a cohort study. Revista Da Escola De Enfermagem Da USP, 52, e03410. https://doi.org/10.1590/s1980-220x2017041003410