Radial artery occlusion with a kaolin-filled pad after transradial cardiac catheterization

doi:10.1097/MD.0000000000013134

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Title:	Radial artery occlusion with a kaolin-filled pad after transradial cardiac catheterization
Authors:	Chiang, Chun-Yen Chang, Weng-Ting Ho, Chung-Han Hong, Chon-Seng Shih, Jhih-Yuan Wu, Wen-Shiann Chen, Zhih-Cherng Chou, Ming-Ting
Contributors:	Chi Mei Med Ctr, Div Cardiol, Dept Internal Med Chung Hwa Univ Med Technol, Dept Optometry Chi Mei Med Ctr, Dept Med Res Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm Chia Nan Univ Pharm & Sci, Dept Recreat & Healthcare Management
Keywords:	kaolin-filled pad radial artery occlusion transradial access
Date:	2018-11
Issue Date:	2019-11-15 15:46:03 (UTC+8)
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Abstract:	Radial artery occlusion (RAO) occurs in 2% to 18% of patients after transradial access (TRA) cardiac catheterization. Using a kaolin-filled pad (QuikClot) reduces compression time during TRA and might reduce RAO. We examined the RAO risk with the kaolin-filled pad after TRA cardiac catheterization. This was a prospective cross-sectional study of 260 patients who underwent TRA cardiac catheterization in a cardiac ward of a Medical Center from 2012 to 2016. Patients were randomly assigned to 1 of 2 groups: the case group (n=130) was postoperatively treated with a kaolin-filled pad, and the control group (n=130) was treated with conventional hemostasis. Color duplex ultrasound was used to evaluate the 24-hour and 1-month postoperative radial artery flow velocity, diameter, patency, and RAO risk. RAO risk was not significantly different between the case and control groups after 24hours (4.6% vs 5.4%, P=.776) or after 1 month (5.4% vs 6.1%, P=.789), regardless of whether it was a first TRA cardiac catheterization (after 24hours [P=.153] or after 1month [P=.617], respectively) or a repeated TRA cardiac catheterization (after 24hours [P=.754] or after 1month [P=.753], respectively). Using a kaolin-filled pad after TRA cardiac catheterization did not significantly reduce RAO risk compared with conventional hemostasis.
???metadata.dc.relation.uri???:	http://dx.doi.org/10.1097/MD.0000000000013134
Relation:	Medicine, v.97, n.46, e13134
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles

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