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COMPLETED
NCT07621185
NA

Manual vs Pneumatic Compression to Prevent Radial Artery Occlusion After Transradial Procedures

Sponsor: Hospital Clinic of Barcelona

View on ClinicalTrials.gov

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

PROCEDURE

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.

DEVICE

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