Comparison of Compressive Dressing with Gauze and Elastic Crepe Bandage Versus Transradial Band in the Management of the Radial Approach for Cardiac Catheterization and Interventions. A Prospective, Randomized, Controlled Observational study
Raed Awwad, Fateh
An Najah National University
Introduction: TR BAND® Radial Compression Device like bracelet designed to assist hemostasis of the radial artery after the transradial cardiac catheterization. The crepe bandage is a medical material that is essential for wound dressing, but theoretically, bandage can compromise peripheral circulation. Both of these methods are used for maintaining the hemostasis of the puncture site of the radial artery. So, comparison between these methods in reference to hemostasis, vascular complications such as bleeding, hematoma, Acute radial artery occlusion (RAO) and the cost effectiveness in term of Price of these methods are warranted. Aim: This study aims to determine the differences between TR Band and compressive dressing with gauze swab and elastic Crepe bandage after cardiac catheterizations and interventions in terms of benefits, complications, and cost effectiveness concerning the price of these methods. Methodology: A prospective, randomized, and observational study at An-Najah National University Hospital (NNUH). A number of 400 patients who would be admitted at NNUH for cardiac catheterization and interventions, and whom would voluntarily accept to participate. They were randomly allocated according to the randomization list generated by the GraphPad® software, developed by GraphPad Software Inc, San Diego, California, USA. Results: of the 417 patients, 200 were randomized to the TR band group and 200 to the gauze swab and crepe bandage group.17 patients were excluded due to different exclusion criteria. Demographic and Procedural characteristics were similar. Both hands were equally effective in fulfilling hemostasis, incidence of hematoma and Acute RAO was higher in the TR band group (2.50% vs. 0.5%; p = 0.100), also time to hemostasis was less in the gauze swab and TR band group (1.67 h vs. 1.11 h ; p = 0.000).
TR Band, , Crepe bandage , Radial artery.