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- Title
Randomized clinical study on radial artery compression time after elective coronary angiography.
- Authors
de Carvalho Campos, Maria Aparecida; Rodrigues Alves, Claudia Maria; Harumi Tsunemi, Miriam; Sorgini Peterlini, Maria Angélica; Machado Avelar, Ariane Ferreira
- Abstract
Objective: to compare two compression times of the radial artery after coronary angiography with customized compressive dressing regarding the occurrence of hemostasis and vascular complications. Method: a randomized clinical study was carried out in patients undergoing elective transradial coronary angiography in two study groups: (G30), whose compressive dressing was maintained for 30 minutes, and (G60), whose compressive dressing was maintained for 60 minutes, both until the first evaluation of hemostasis. Variables related to patients, procedure, occurrence of hemostasis, and vascular complications were analyzed. Patency of the radial artery was assessed with Doppler vascular ultrasonography, immediately after removing the compressive dressing and 30 days after the procedure. Results: the sample consisted of 152 patients in G30 and 151 in G60. Hemostasis was evidenced in the first evaluation in 76.3% of G30 patients and 84.2% of G60 patients (p = 0.063). There were 91 immediate complications, being 53 hematomas and 38 occlusions of the radial artery. We identified 18 late occlusions, 7 (5.5%) in G30 and 11 (8.2%) in G60. Conclusion: the different compression times of the radial artery after coronary angiography did not significantly influence the occurrence of hemostasis and vascular complications. Brazilian Registry of Clinical Trials (Rebec): RBR-7VJYMJ.
- Subjects
VASCULAR diseases; ARTERIAL occlusions; ACADEMIC medical centers; COMPRESSION stockings; HEMATOMA; HEMOSTASIS; LONGITUDINAL method; RISK assessment; STATISTICAL sampling; SURGICAL complications; SURGICAL dressings; TIME; RANDOMIZED controlled trials; RADIAL artery; DESCRIPTIVE statistics; CORONARY angiography; DISEASE risk factors
- Publication
Revista Latino-Americana de Enfermagem (RLAE), 2018, Vol 26, p1
- ISSN
1518-8345
- Publication type
Article
- DOI
10.1590/1518-8345.2584.3084