Hemostatic efficacy of hydrophilic wound dressing after transradial catheterization.
Here, we evaluate the efficacy of the Clo-Sur PAD nonwoven hydrophilic wound dressing (HWD) on hemostasis in an arterial-access site after transradial percutaneous coronary angiography compared with the RadiStop compression device (CD). Eighty patients who had undergone transradial coronary angiography with or without intravascular ultrasound were randomly assigned to the HWD or CD group. The time required to achieve hemostasis was measured, and the incidence of vascular complications was assessed. No significant differences in clinical and procedural characteristics were observed between the HWD group (n = 40) and the CD group (n = 40). A significant reduction in the time required to achieve hemostasis (58.7 +/- 32.6 minutes versus 131.3 +/- 59.1 minutes; p < 0.001) was associated with the use of HWD. The incidence of vascular complications was similar in both groups (5% for HWD versus 2.5% for CD; p = 0.500). No major complications, such as large hematoma or acute radial occlusion, occurred in the HWD group. In conclusion, HWD represents a safe alternative to the compression method. Hemostasis can be achieved more quickly using HWD, with no increase in access site complications, as compared to CD.
Choi
Eui-Young
EY
Division of Cardiology, Yonsei Cardiovascular Center and Cardiovascular Research Institute, Seoul 120-752, South Korea.
Ko
Young-Guk
YG
Kim
Jin-Bae
JB
Rhee
Jihyuk
J
Park
Sungha
S
Choi
Donghoon
D
Jang
Yangsoo
Y
Shim
Won-Heum
WH
Cho
Sueng-Yun
SY
D047070:Bandages, Hydrocolloid; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects / Q000379:methods; D003327:Coronary Disease / Q000000981:diagnostic imaging; D019160:Endosonography / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D017534:Radial Artery; D016896:Treatment Outcome