Chinese Journal of Emergency and Critical Care Nursing >
Feasibility study on the application of removing radial artery hemostatic device 2 hours after coronary intervention
Received date: 2025-04-13
Online published: 2026-03-02
Supported by
The First Kelin Nursing Talent Cultivation Plan of the Affiliated Hospital,Sun Yat-sen University(KLHL2023BB09)
Objective To explore the feasibility of removal of radial artery hemostatic device 2 hours after the procedure in patients undergoing coronary intervention.Methods Patients who underwent transradial coronary intervention in the Department of Cardiology of a tertiary hospital in Guangzhou,Guangdong Province from January to November 2024 were randomly divided into control group and experimental group by random number table method. The control group adopted the protocol of removing the hemostatic device 2 hours post-procedure,and the experimental group was treated with the protocol of removing the hemostatic device 6 hours post-procedure. The radial artery occlusion,palm swelling,pain score and bleeding at the puncture site were compared between the two groups.Results There was no difference in the incidence of radial artery occlusion between the two groups(0.5% VS 0.7%,P>0.05). The palm swelling degree and pain score of the experimental group were significantly lower than those of the control group at 2 hours,4 hours,6 hours and 12 hours after the procedure(P<0.05). There was no difference in bleeding between the two groups(2.2% VS 4.5%,P=0.150).Conclusion Compared with removing the hemostatic device 6 hours after the procedure,the removal of the hemostatic device 2 hours after the procedure did not increase the risk of bleeding at the puncture site,but it could significantly reduce the degree of swelling and pain in the palm after the procedure and improve the comfort of patients.
ZHANG Xiaoqin , PAN Peizhen , WU Peiwen , LU Lan , LIU Yu , HUANG Junya , YAN Fengjiao . Feasibility study on the application of removing radial artery hemostatic device 2 hours after coronary intervention[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(3) : 331 -337 . DOI: 10.3761/j.issn.2096-7446.2026.03.015
| [1] | 刘明波, 何新叶, 杨晓红, 等. 《中国心血管健康与疾病报告2024》要点解读[J]. 实用医学杂志, 2025, 41(14):2111-2131. |
| Liu MB, He XY, Yang XH, et al. Interpretation of annual report on cardiovascular health and diseases in China 2024[J]. J Pract Med, 2025, 41(14):2111-2131. | |
| [2] | Roy S, Kabach M, Patel DB, et al. Radial artery access complications:prevention,diagnosis and management[J]. Cardiovasc Re-vasc Med, 2022, 40:163-171. |
| [3] | Rahman A, Uddin MJ, Hussain KS, et al. Effect of duration of hemostatic compression on radial artery occlusion after transradial percutaneous coronary intervention[J]. Mymensingh Med J, 2023, 32(2):386-392. |
| [4] | 汪若晨, 戴宇翔, 葛均波. 经桡动脉入路冠状动脉造影及介入治疗的发展历程与展望[J]. 中国临床医学, 2024, 31(1):3-11. |
| Wang RC, Dai YX, Ge JB. Radial access for coronary angiography and intervention:past,present and future[J]. Chin J Clin Med, 2024, 31(1):3-11. | |
| [5] | Tsigkas G, Papanikolaou A, Apostolos A, et al. Preventing and managing radial artery occlusion following transradial procedures:strategies and considerations[J]. J Cardiovasc Dev Dis, 2023, 10(7):283. |
| [6] | Maqsood MH, Pancholy S, Tuozzo KA, et al. Optimal hemostatic band duration after transradial angiography or intervention:insights from a mixed treatment comparison meta-analysis of ran-domized trials[J]. Circ Cardiovasc Interv, 2023, 16(2):e012781. |
| [7] | Bernat I, Aminian A, Pancholy S, et al. Best practices for the prevention of radial artery occlusion after transradial diagnostic angiography and intervention:an international consensus paper[J]. JACC Cardiovasc Interv, 2019, 12(22):2235-2246. |
| [8] | 谭钧旸, 马芳, 胡秋兰, 等. 经桡动脉穿刺冠状动脉介入治疗术肢管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(13):1572-1579. |
| Tan JY, Ma F, Hu QL, et al. Evidence summary of limb management in transradial coronary intervention[J]. Chin J Nurs, 2022, 57(13):1572-1579. | |
| [9] | Pancholy SB, Patel TM. Effect of duration of hemostatic compression on radial artery occlusion after transradial access[J]. Catheter Cardiovasc Interv, 2012, 79(1):78-81. |
| [10] | 杨胜利. “经桡动脉介入诊疗后桡动脉闭塞最佳预防国际共识”解读[J]. 中国循证心血管医学杂志, 2020, 12(1):1-4. |
| Yang SL. Interpretation on international consensus of the best prevention for radial artery occlusion after transradial percutaneous intervention[J]. Chin J Evid Based Cardiovasc Med, 2020, 12(1):1-4. | |
| [11] | 王瑞平. 随机对照临床试验设计中的样本量估算方法[J]. 上海医药, 2023, 44(1):48-52. |
| Wang RP. Methods of sample size estimation in randomized controlled clinical trial design[J]. Shanghai Med Pharm J, 2023, 44(1):48-52. | |
| [12] | 周晓美, 曹光岩, 王浩, 等. 预防经桡动脉冠状动脉造影或介入术后桡动脉闭塞的最佳证据应用效果评价[J]. 中国实用护理杂志, 2023, 39(8):561-567. |
| Zhou XM, Cao GY, Wang H, et al. Application effect evaluation of the best evidence for the prevention of radial artery occlusion after transradial coronary angiography or intervention[J]. Chin J Pract Nurs, 2023, 39(8):561-567. | |
| [13] | 许艳玲, 王连生, 史冬梅. 不同止血装置对经桡动脉冠状动脉介入治疗后患者压迫止血的安全性及舒适度的影响研究[J]. 医疗卫生装备, 2025, 46(1):49-54. |
| Xu YL, Wang LS, Shi DM. Effects of different hemostatic devices on safety and comfort of compression hemostasis in patients after transradial coronary intervention[J]. Chin Med Equip J, 2025, 46(1):49-54. | |
| [14] | 孙红梅, 徐冬梅, 张再冉, 等. 早期减压对经远端桡动脉行冠状动脉介入术患者的安全性[J]. 国际老年医学杂志, 2024, 45(5):529-533. |
| Sun HM, Xu DM, Zhang ZR, et al. Safety of early decompression in patients undergoing coronary intervention via distal radial artery[J]. Int J Geriatr, 2024, 45(5):529-533. | |
| [15] | Johansson U, Isaksen K, Dalen I, et al. Radial artery occlusion after coronary angiography with trans radial access:a nurse led study employing duplex ultrasonography and the reverse Barbeau test[J]. Eur J Cardiovasc Nurs, 2024, 23(4):367-373. |
| [16] | Feng CG, Zong B, Liu Y, et al. Comparison of distal transradial approach versus conventional transradial approach for coro-nary angiography and percutaneous coronary intervention:a prospective observational study[J]. Heliyon, 2023, 9(6):e17150. |
| [17] | Niknam Sarabi H, Farsi Z, Butler S, et al. Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography:a randomized clinical trial[J]. BMC Cardiovasc Disord, 2021, 21(1):114. |
| [18] | 杨挺生, 吴晓丹, 王现涛. 经桡动脉路径冠状动脉介入术后桡动脉闭塞的研究进展[J]. 中华老年心脑血管病杂志, 2023, 25(5):545-547. |
| Yang TS, Wu XD, Wang XT. Research progress of radial artery occlusion after percutaneous coronary intervention via radial artery pathway[J]. Chin J Geriatr Heart Brain Vessel Dis, 2023, 25(5):545-547. | |
| [19] | Li ZX, Wang YJ, Song JH, et al. Distal radial access to prevent radial artery occlusion for STEMI patients(RAPID Ⅲ):a randomized controlled trial[J]. BMC Med, 2025, 23(1):173. |
| [20] | 邱杰. 应用止血器缩短冠脉造影患者桡动脉压迫止血时间的临床研究[J]. 护士进修杂志, 2019, 34(17):1607-1609. |
| Qiu J. Clinical study on shortening the hemostasis time of radial artery compression in patients undergoing coronary angiography with hemostat[J]. J Nurses Train, 2019, 34(17):1607-1609. | |
| [21] | 周静, 李妙男, 赵娜, 等. 视频化手指操对冠状动脉介入治疗患者术后肢体症状及睡眠质量的影响[J]. 中华全科医学, 2023, 21(7):1248-1250,1266. |
| Zhou J, Li MN, Zhao N, et al. Effect of video based finger exercises on postoperative limb symptoms and sleep quality in patients undergoing coronary intervention therapy[J]. Chin J Gen Pract, 2023, 21(7):1248-1250,1266. | |
| [22] | Petroglou D, Didagelos M, Alkagiet S, et al. Manual radial artery compression after transradial coronary procedures:is it safe to go bare-handed?[J]. Cardiovasc Revasc Med, 2020, 21(7):912-916. |
| [23] | 武宝峰, 秦纲. 桡动脉止血器研究进展[J]. 中国循证心血管医学杂志, 2021, 13(6):766-768. |
| Wu BF, Qin G. Research progress in radial artery hemostat[J]. Chin J Evid Based Cardiovasc Med, 2021, 13(6):766-768. | |
| [24] | Dahal K, Sharma S, Yousuf A, et al. A comparison of standard versus low dose heparin on access-related complications after coronary angiography through radial access:a meta-analysis of randomized controlled trials[J]. Cardiovasc Revasc Med, 2018, 19(5 Pt B):575-579. |
| [25] | 郑庆昆, 刘剑雄. 应用高剂量肝素在冠状动脉造影时预防桡动脉闭塞的临床研究[J]. 四川医学, 2020, 41(4):376-380. |
| Zheng QK, Liu JX. Clinical study of high-dose heparin to prevent radial artery occlusion during coronary angiography[J]. Sichuan Med J, 2020, 41(4):376-380. |
/
| 〈 |
|
〉 |