Background: Transradial coronary intervention has been shown to be both safe and efective, with several benefts, such as limited access to site complications and earlier patient discharge. Radial compression devices, on the other hand, add to the total expense of the procedure and have not been adequately compared to traditional compressive dressings. Te purpose of this study is to compare the safety and efcacy of elastic compressive dressing with gauze swabs and crepe bandages to balloon compression devices with the TR Band (Terumo) for maintaining radial hemostasis following cardiac procedures. Method: A total of 402 patients were randomly assigned to receive either a TR band or an elastic compressive dressing for radial hemostasis following cardiac intervention in a prospective, partially blinded, randomized clinical study. Te main outcome was the hemostasis time and the occurrence of hematoma. Patient satisfaction, postprocedure pain, vascular problems, and the cost of the compression device used were all secondary outcomes. Results: Te two groups had similar baseline characteristics and procedural data. Te majority of patients (79%) were very satisfed with both hemostasis techniques. Te elastic dressing group achieved hemostasis signifcantly faster than the TR band group (83.8 ± 142.8 min vs. 116.3 ± 122.7, p � 0.017). Signifcant diferences in the incidence of hematoma (8% elastic dressing vs. 18.4% TR band, p � 0.003) and postprocedural pain (0.84 ± 1.2 elastic dressing vs. 1.39 ± 1.4 TR band, p ≤ 0.001) were observed. Te incidence of early radial artery occlusion was higher in the elastic dressing group (7 patients) than in the TR band group (2 patients), although the diference was not statistically signifcant (p � 0.09). Finally, the TR band was signifcantly more expensive than the elastic dressing used in the trial. Conclusion: Elastic compressive dressings are a safe, low-cost, and efective alternative to TR band. Tey decrease hemostasis time, enhance patient comfort, and reduce both the number and size of hematomas. When compared to the TR band, these dressings have a similar rate of radial artery patency at discharge. Trial Registration: ClinicalTrials.gov identifer: NCT05409716 Keywords: compressive dressing; coronary angiography; coronary artery disease; crepe bandage dressing; elastic dressing; TR band; transradia

Title

Aidah Alkaissi

Publisher

An-Najah National University

Publisher Country

United Kingdom

Indexing

Scopus

Impact Factor

1.6

Publication Type

Online only

Volume

2025

Year

2025

Pages

11