<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>There is a growing use of trans-radial catheterisation for angiography and percutaneous interventions. The advantages of trans-radial over traditional femoral access include a decrease in the incidence of access site bleeding complications and improved patient comfort and recovery. Ensuring short haemostasis, which controls arterial bleeding after transracial interventions, but at the same time maintains radial arterial flow, appears to be the most important factor in reducing peri-procedural complications, especially radial artery occlusion (RAO). We evaluated the technical feasibility of our gradual deflation haemostasis method in a population of patients treated by both conventional and distal trans-radial approach, within 1 month period. A feasibility assessment was performed for 101 patients to assess whether our hemostasis technique could be performed safely. We concluded that our technique is feasible after trans-radial approach, in both categories of access, conventional or distal. The rate of peri-procedural complications was low and related to the type of approach used, with more positive results on the distal trans-radial approach.</p>
</abstract>

There is a growing use of trans-radial catheterisation for angiography and percutaneous interventions. The advantages of trans-radial over traditional femoral access include a decrease in the incidence of access site bleeding complications and improved patient comfort and recovery. Ensuring short haemostasis, which controls arterial bleeding after transracial interventions, but at the same time maintains radial arterial flow, appears to be the most important factor in reducing peri-procedural complications, especially radial artery occlusion (RAO). We evaluated the technical feasibility of our gradual deflation haemostasis method in a population of patients treated by both conventional and distal trans-radial approach, within 1 month period. A feasibility assessment was performed for 101 patients to assess whether our hemostasis technique could be performed safely. We concluded that our technique is feasible after trans-radial approach, in both categories of access, conventional or distal. The rate of peri-procedural complications was low and related to the type of approach used, with more positive results on the distal trans-radial approach.

Minimal Individual Haemostasis (Mih) - Feasibility in Conventional and Distal Trans-Radial Approach

“Carol Davila” University of Medicine and Pharmacy

Acta Medica Transilvanica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

There is a growing use of trans-radial catheterisation for angiography and percutaneous interventions. The advantages of trans-radial over traditional femoral...

Minimal Individual Haemostasis (Mih) - Feasibility in Conventional and Distal Trans-Radial Approach

Published Online: Aug 05, 2021

Page range: 30 - 32

Received: Sep 20, 2020

Accepted: Apr 03, 2021

DOI: https://doi.org/10.2478/amtsb-2021-0029

Keywords
PCI, Haemostasis, Radial approach, Distal transradial, Snuff-box

© 2021 Maged Mokbel et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Minimal Individual Haemostasis (Mih) - Feasibility in Conventional and Distal Trans-Radial Approach

Published Online: Aug 05, 2021

Page range: 30 - 32

Received: Sep 20, 2020

Accepted: Apr 03, 2021

DOI: https://doi.org/10.2478/amtsb-2021-0029

KeywordsPCI, Haemostasis, Radial approach, Distal transradial, Snuff-box

© 2021 Maged Mokbel et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
PCI, Haemostasis, Radial approach, Distal transradial, Snuff-box