Randomized Comparison of Compression Bandage and TR band for Radial artery Hemostasis in Patients Undergoing Transradial Coronary Interventions

Abstract

Objective: To compare two different methods (TR band and compression bandage) for radial artery
hemostasis in patients undergoing transradial coronary interventions.
Method: This was a randomized control trial carried out at Punjab Institute of Cardiology Lahore for six
months. Total 200 indoor patients undergoing elective percutaneous Trans radial interventions were included
in the study. Clinical features and investigations were noted in a predesigned proforma after informed consent.
Patients were then randomized into TR band or conventional compression in blocks of 4. A resident was dedicated in
the ward to remove the sheath immediately after randomization. All puncture sites were independently reviewed
and measurements were recorded 24hrs after the procedure.
Results: Frequency of major bleeding was markedly higher in TR group (10) as compared to compression
group (02) (p-value=0.017). Frequency of minor bleeding was markedly higher in TR group (23) as compared to
compression group (09) i.e. p-value=0.007. In TR group significantly higher number of patients felt discomfort
as compared to compression group i.e. TR: 49 vs. Compression: 35, p-value=0.045.
Conclusion: Compression band is more effective than TR band in terms of minimal vascular complications
and less patient discomfort.

How to cite: Chaudhry MNA, Iqtadar Somia, Mumtaz SU, Hameed S, Malick NH, Akhtar H. Randomized Comparison of
Compression Bandage and TR band for Radial artery Hemostasis in Patients Undergoing Transradial Coronary Interventions.
Esculapio - JSIMS 2022;18(03):262-266