Abstract
Recently, trans-radial intervention has gained popularity as a common procedure to reduce hemorrhagic complications. However, the cuff-type hemostatic device (TR Band) previously used at our institution required 6 h to achieve hemostasis. Since July 2016, we have been using the VasoSTAT, a new hemostatic device that could achieve hemostasis in 4 h. In a verification study, we found that prolonged activated clotting time (ACT) was related to transient hemorrhage occurrence after the hemostatic procedure. Therefore, we designed a hemostatic protocol based on ACT and evaluated its efficacy. In this retrospective and observational study, 78 and 111 patients used the VasoSTAT and TR Band, respectively, from July 2015 to May 2017. In the VasoSTAT group, the ACTs were significantly lower in the hemostasis success (246 ± 46 s) than in the failure group patients (327 ± 59 s) (P < 0.01). Therefore, we applied the hemostatic protocol to 271 patients from May 2017 to March 2020. The hemostasis success rate was 96% in the post-protocol applied group patients, which was significantly higher than the 82% success rate in the pre-protocol applied group patients (P < 0.01). VasoSTAT resulted in adequate hemostasis in 4 h. Further, ACT was predictive of adequate hemostasis.
Highlights
ObjectivesThe primary purpose of this study was to compare the efficacy of the two aforementioned hemostasis devices
From July 2015 to May 2017, 78 and 111 patients were treated with the VasoSTAT and TR Band, respectively
This study primarily found that the hemostasis success rate in patients who used the VasoSTAT in 4 h was not significantly different from that of those who used the TR Band in 6 h
Summary
The primary purpose of this study was to compare the efficacy of the two aforementioned hemostasis devices. As there is a paucity of current literature discussing factors affecting hemostasis success rates, this study aims to investigate these factors and the efficacy of the hemostatic protocol we designed based on them
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have