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Manual vs Pneumatic Compression to Prevent Radial Artery Occlusion After Transradial Procedures
Sponsor: Hospital Clinic of Barcelona
Summary
This study evaluates two commonly used methods of achieving hemostasis after transradial cardiac catheterization: manual compression and pneumatic compression with gradual deflation. Transradial access is widely used for diagnostic and interventional cardiac procedures due to its safety profile, but radial artery occlusion remains a relevant complication that may limit future vascular access. In this pragmatic, prospective, multicenter study conducted in routine clinical practice, adult patients undergoing transradial cardiac catheterization were assigned to receive either manual compression or pneumatic compression using a standardized patent hemostasis protocol. The primary objective is to compare the incidence of radial artery occlusion at 30 days between both strategies. Secondary outcomes include local vascular complications, patient-reported pain, and total compression time.
Official title: Manual Radial Compression Versus Gradual Pneumatic Compression for the Prevention of Radial Artery Occlusion After Transradial Cardiac Catheterization: A Pragmatic Multicenter Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1168
Start Date
2022-11-02
Completion Date
2024-11-27
Last Updated
2026-06-02
Healthy Volunteers
No
Interventions
Manual Radial Compression
Direct manual compression using sterile gauze and a non-circumferential adhesive dressing applied after radial sheath removal, with progressive pressure adjustment to achieve patent hemostasis.
Pneumatic Radial Compression Device
Application of a pneumatic compression device with gradual deflation following a standardized patent hemostasis protocol to maintain arterial flow while achieving hemostasis.
Locations (1)
Hospital Clinic of Barcelona
Barcelona, Spain