Radial artery hemostatic device applied in trans-brachial coronary intervention
10.3969/j.issn.1004-8812.2025.04.003
- VernacularTitle:桡动脉止血器在经肱动脉冠状动脉介入术中的应用
- Author:
Ning WANG
1
;
Guan-liang CHENG
1
;
Liang WANG
1
;
Quan YANG
1
;
Wen-chao ZHANG
1
Author Information
1. 北京大学国际医院心血管内科,北京 102206
- Publication Type:Journal Article
- Keywords:
Brachial artery;
Percutaneous coronary intervention;
Radial artery hemostatic device
- From:
Chinese Journal of Interventional Cardiology
2025;33(4):195-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of the radial artery hemostatic device in trans-brachial coronary intervention,and assess its effectiveness.Methods A retrospective analysis was conducted on patients who underwent trans-brachial coronary intervention at Peking University International Hospital from January 1,2018 to December 31,2023.The patients were divided into the radial artery hemostatic device group(170 cases)and the conventional compression group(100 cases)based on the postoperative hemostasis method,and the incidence of complications and clinical characteristics were compared between the two groups.Results A total of 270 patients underwent trans-brachial coronary intervention,with 18 complications occurring.Among them,17 cases were hemorrhage around the puncture site(16 cases were mild and 1 case was severe)and 1 was transient median nerve injury.The overall complication rate was 6.7％,and the incidence of hemorrhage around the puncture site was 6.3％.The hemorrhage rate in the radial artery hemostatic device group was 5.9％,while that in the conventional compression group was 7.0％,with no statistically significant difference between the two groups(P=0.715).Multivariate regression analysis indicated that female was an independent risk factor for hemorrhage around the puncture site(OR 4.57,95％CI 1.40-14.96,P=0.012).With the accumulation of technology,the application of trans-brachial access and radial artery hemostatic devices increased year by year(both P＜0.010).Conclusions The radial artery hemostatic device effectively controls bleeding in trans-brachial coronary interventions and demonstrates satisfactory safety.Its simplicity and efficacy provide a new strategy for hemostatic management in percutaneous trans-brachial access,which may gradually become the new standard in the future.
