Radial Compression Research Articles

Ultra‐High Radial Elastic Aerogel Fibers for Thermal Insulation Textile

AbstractWhen nanoporous aerogels with excellent thermal insulation performance are processed into 1D fibers, they have great potential for application in the field of personal thermal management. However, coping with the impact of external forces, especially radial extrusion, and maintaining the macro morphology and microstructure of aerogels during use are remaining issues. To address these challenges, this study proposes a method that uses ultrafine and ultra‐highly entangled bacterial cellulose nanofibers as the basis to achieve high radial elasticity by forming an isomorphic coating of rigid silica on the soft gel skeleton of aerogel fibers. The obtained aerogel fibers can achieve an elastic recovery of 88% over 50 compression cycles under 90% strain, and they can be knotted, woven into textiles, and are washable. This strategy improves the radial compression resistance of aerogel fibers, providing rich possibilities for the development of aerogel fibers with excellent mechanical properties.

Fracture Characteristics and Tensile Strength Prediction of Rock–Concrete Composite Discs Under Radial Compression

To investigate the fracture mechanism of rock–concrete (R–C) systems with an interface crack, Brazilian splitting tests were conducted, with a focus on understanding the influence of the interface crack angle on failure patterns, energy evolution, and RA/AF characteristics. The study addresses a critical issue in rock–concrete structures, particularly how crack propagation differs with varying crack angles, which has direct implications for structural integrity. The experimental results show that the failure paths in R–C disc specimens are highly dependent on the interface crack angle. For crack angles of 0°, 15°, 30°, and 45°, cracks initiate from the tips of the interface crack and propagate toward the loading ends. However, for angles of 60°, 75°, and 90°, crack initiation shifts away from the interface crack tips. The AE parameters RA (rise time/amplitude) and AF (average frequency) were used to characterize different failure patterns, while energy evolution analysis revealed that the highest percentage of energy consumption occurs at a crack angle of 45°, indicating intense microcrack activity. Moreover, a novel tensile strength prediction model, incorporating macro–micro damage interactions caused by both microcracks and macrocracks, was developed to explain the failure mechanisms in R–C specimens under radial compression. The model was validated through experimental results, demonstrating its potential for predicting failure behavior in R–C systems. This study offers insights into the fracture mechanics of R–C structures, advancing the understanding of their failure mechanisms and providing a reliable model for tensile strength prediction.

Biomechanical analysis of nickel-titanium (NiTi)–cobalt-chromium (CoCr) hybrid-braided dense-mesh stents for carotid artery stenosis

This study investigates NiTi-CoCr hybrid carotid artery stents to enhance mechanical properties over NiTi-only designs. Different configurations (24NiTi, 20NiTi-4CoCr, 16NiTi-8CoCr, and 12NiTi-12CoCr) were evaluated through radial compression and bending simulations. The 12NiTi-12CoCr stent showed the highest radial support (39.37 N) and increased bending strength by 77.96%. When modeled in a stenotic artery, this stent reduced stenosis from 81.52% to 29.33% and improved blood flow dynamics, alleviating high-pressure zones and balancing wall shear stress. These results suggest that CoCr wires improve stent performance, with the 12NiTi-12CoCr stent offering significant biomechanical and hemodynamic benefits.

Theoretical and experimental study on the mechanical measurement of rock tensile fracture by ring radial compression

Conventional Brazilian disc splitting tests are hampered by stress concentration at the loading points, leading to test outcomes that do not truly represent the engineering failure strength of rocks. To enhance the accuracy of these tests, the specimen shape has progressed from the Brazilian disc to a circular ring. This study presents a theoretical analysis of the compression deformation process in circular rings, followed by platform-radial compression tests conducted on various types of rocks and metals, employing the digital speckle correlation method alongside an improved mechanical extensometer. The findings indicate that circular ring specimens failed under a combination of tensile and compressive stresses. The main crack originates along the loading direction on the inner wall of the ring and propagates outwards, resulting in the failure of the entire ring structure. While maximum tensile strain may serve as an indicator of rock failure, tensile stress alone should not be considered a definitive criterion for failure.

Measurement of spherical tokamak plasma compression in the PCS-16 magnetized target fusion experiment

Abstract A sequence of magnetized target fusion (MTF) devices built by General Fusion have compressed magnetically confined deuterium plasmas inside imploding aluminum liners. Here we describe the best-performing compression experiment, PCS-16, which was the fifth of the most recent experiments that compressed a spherical tokamak plasma configuration. In PCS-16 the plasma remained axisymmetric with δBpol/Bpol < 20% to a high radial compression factor (CR > 8) with significant poloidal flux conservation (77% up to CR = 1.7, and ≈30% up to CR = 8.65) and a total compression time of 167 μs. Magnetic energy of the plasma increased from 0.96 kJ poloidal and 17 kJ toroidal to a peak of 1.14 kJ poloidal and 29.9 kJ toroidal during the compression, while thermal energy was in the range of 350 ± 25 J. Plasma equilibrium was a low-β state with βtor ≈ 4% and βpol ≈ 15%. Ingress of impurities from the lithium coated aluminum wall was not a dominant effect. Neutron yield from D-D fusion increased significantly during compression. Thermodynamics during the early phase of compression (CR < 1.7) were consistent with increasing Ohmic heating of the electrons due to a geometric rise in the current density at near-constant resistivity, and with increasing ion cooling that approximately matched ion compressional heating power. Ion cooling by electrons was significant because the electrons were cooler than the ions (Te = 200 eV, Ti = 600 eV). Magnetohydrodynamic simulation was used to model the emergence of instabilities that increased electron thermal transport in the final phase of compression. Conditions for ideal stability were actively maintained during compression through a current ramp applied to the central shaft, and after this current ramp reached its peak two-thirds of the way through compression we measured a transition in plasma behavior across multiple diagnostics.

Discrete element modelling and mechanical properties and cutting experiments of Caragana korshinskii Kom. stems.

The forage crop Caragana korshinskii Kom. is of high quality, and the biomechanical properties of its plant system are of great significance for the development of harvesting equipment and the comprehensive utilisation of crop resources. However, the extant research on the biomechanical properties of Caragana korshinskii Kom. is inadequate to enhance and refine the theoretical techniques for mechanised harvesting. In this study, we established a discrete element model of CKS based on the Hertz-Mindlin bonding contact model. By combining physical experiments and numerical simulations, we calibrated and validated the intrinsic and contact parameters. The Plackett-Burman design test was employed to identify the significant factors influencing bending force, and the optimal parameter combination for these factors was determined through response surface analysis. When the shear stiffness per unit area was 3.56×109 Pa, the bonded disk scale was 0.93 mm, the normal stiffness per unit area was 9.68×109 Pa, the normal strength was 5.62×107 Pa, the shear strength was 4.27×107 Pa, the discrete element numerical simulation results for three-point bending, radial compression, axial tension, and shear fracture exhibited a maximum failure force error of 3.32%, 4.37%, 4.87% and 3.74% in comparison to the physical experiments. In the cutting experiments, a smaller radial angle between the tool edge and the stem resulted in less damage to the cutting section, which was beneficial for the smoothness of the stubble after harvesting and the subsequent growth of the stem. The discrepancy in cutting force between the physical and numerical simulations was 3.89%, and the F-x (force versus displacement) trend was consistent. The multi-angle experimental validation demonstrated that the discrete element model of CKS is an accurate representation of the real biomechanical properties of CKS. The findings offer valuable insights into the mechanisms underlying crop-machine interactions.

The effect of kaolin on postprocedural radial artery compression - randomized comparison

Abstract Background Mechanical compression is a standard method of postprocedural radial artery hemostasis. We investigated the use of this method and its combination with kaolin impragnated gauze patch as a new method of hemostasis. Methods We randomized 712 consecutive patients (pts) from our same day discharge program (age 66±8 years, 76% males) after coronary angiography (69%) and intervention (31%) from the proximal (PRA) and distal radial (DRA) approaches. Compression was performed by mechanical inflatable device with or without kaolin gauze : 241 versus (vs) 241 patients in proximal groups and 115 vs 115 pts in distal groups were compared. Postprocedural proximal radial artery patency was evaluated by reverse Barbeau test with finger oximetry testing. Time to hemostasis and access site complications were analyzed. Results Baseline characteristics were similar in all four groups - proximal with kaolin (PK+) and without kaolin (PK-), distal with kaolin (DK+) and without kaolin (DK-). Mean compression time was 57±20 min in PK+ vs 83±19 min in PK- groups (p<0.001) and 48±12 min in DK+ vs 63±12 min in DK- groups (p<0.001). In parallel, compression times were shorter in the distal groups compared to the corresponding proximal groups: (DK+ vs PK+; DK- vs PK-; both p<0.001). Postprocedural EASY grade II (<10cm) and III (> 10cm) hematomas occured more often in PRA (4,7% and 0,8%) in comparison with DRA (1,7% and 0%; p=0,03). There were no other local complications including the absence of proximal radial artery occlusion. Conclusions The use of kaolin in combination with mechanical radial artery compression was associated with shorter compression time in both PRA and DRA compared to mechanical compression alone. DRA was associated with an overall lower incidence of hematomas and also shorter compression time compared to the same PRA groups. No proximal radial artery occlusion was detected in our analysis.

3D printed polymeric stent design: Mechanical testing and computational modeling

Polymer-based bioresorbable scaffolds (BRS) aim to reduce the long-term issues associated with metal stents. Yet, first-generation BRS designs experienced a significantly higher rate of clinical failures compared to permanent implants. This prompted the development of alternative scaffolds, such as the poly(L-lactide-co-ε-caprolactone) (PLCL) solvent-casted stent, whose mechanical performance has yet to be addressed. This study examines the mechanical behavior of this novel scaffold across a wide range of parallel and radial compression diameters. The analysis highlights the scaffold’s varying responses under different loading conditions and provides insights into interpreting simulation model parameters to accurately reflect experimental results.Stents demonstrated a parallel crush resistance of 0.11 N/mm at maximum compression, whereas the radial forces were significantly higher, reaching up to 1.80 N/mm. Additionally, the parallel test keeps the stent in the elastic regime, with almost no regions exceeding 50 MPa of stress, while the radial test causes significant structural deformation, with localized plastic strain reaching up to 30 %. Results showed that underestimating yield strain in computational models leads to discrepancies with experimental results, being 5 % the most accurate value for matching computational and experimental results for PLCL solvent-casted stents.This comprehensive approach is vital for optimizing BRS design and predicting clinical performance.

Special issue: nerve compression syndromes "Brachioradialis, or "High Wartenberg", syndrome - compression of the sensory branch of the radial nerve in the proximal forearm.

Compression of the sensory branch of the radial nerve (SBRN) in the proximal forearm is an uncommon condition, leading to both motor and sensory deficits. The aim of this study is to assess the surgical outcomes of SBRN release at the level of the brachioradialis arcade. A retrospective study of prospectively collected data was conducted on patients undergoing brachioradialis release (BRR) from March 2014 to March 2021. The measured outcomes included quick-DASH (Disability of the Arm Shoulder Hand questionnaire), work-DASH, visual analog scale (VAS) scores for pain, and patient satisfaction with surgery, at a minimumsixmonth follow-up. A total of twenty patients (mean age of 44.1 (range 25-62) were included in this study, of whichnine (45%) were males. Eleven patients (55%) underwent isolated BRR, while the other nine patients (45%) underwent concomitant BRR and lacertus release. The three most common presenting symptoms in patients with isolated BRS were radiovolar forearm pain (100%), disturbed sensation in the SBRN territory (85%), and hand/thumb fatigue (75%). Forearm pain and fatigue were found in all patients with combined BRS and lacertus syndrome. The response rate for the functional outcome scores was 65% (13/20). Quick-DASH significantly improved (preoperative 29.6 (range 13.6-57.5) to postoperative 6.9 (range 0-27.27), p < 0.0001) as did the work DASH (p < 0.0001). Follow-up VAS Pain was 1 and satisfaction with surgery 9.6. BRS is an uncommon radial nerve compression syndrome in the proximal forearm that differs from the more commonly recognized radial tunnel syndrome. It presents with radio-volar forearm pain, disturbed sensation in the SBRN distribution, and loss of hand/thumb endurance. Minimally invasive BRR immediately restores wrist extension strength, significantly improves DASH scores, and yields positive outcomes at a minimum six-month follow-up.

Stress Analysis of Radial Compression Disk Based on MATLAB

Elastic mechanics is an important branch of solid mechanics, mainly studies the deformation and internal force of elastic objects under the action of external forces and other external factors, also known as elastic theory. The study object of elasticity is elastomer. The detailed theoretical structure helps us solve more practical engineering problems. We used Matlab software in the data simulation for visualization processing. On the basis of the study of elasticity, this paper explores the stress distribution of the uniform ideal elastic body to the radial compression disk model, and observes the change of the stress of the radial compression disk when the external pressure changes gradually. The expressions of the corresponding stress components , and are obtained by using the theory of normal concentrated force on the boundary of a half plane body. The stress solutions considering the thickness t of the disk are derived. Finally, the drawing software in Matlab software is used to visualize the theoretical derivation results in order to intuitively feel the change of stress. After the data simulation, the data simulation results are compared with the stress analysis results derived from the theoretical deduction, and the conclusion is drawn.

Calibration and Experimental Verification of Finite Element Parameters for Alfalfa Conditioning Model

Conditioning is an important step in harvesting alfalfa hay, as squeezing and bending alfalfa stems can break down the stem fibers and accelerate the drying rate of alfalfa. The quality of alfalfa hay is directly affected by the conditioning effect. The finite element method (FEM) can quantitatively analyze the interaction relationship between alfalfa and conditioning rollers, which is of great significance for improving conditioning effects and optimizing conditioning systems. The accuracy of material engineering parameters directly affects the simulation results. Due to the small diameter and thin stem wall of alfalfa, some of its material parameters are difficult to measure or have low measurement accuracy. Based on this background, this study proposed a method for calibrating the finite element parameters of thin-walled plant stems. By conducting radial tensile, shear, bending, and radial compression tests on alfalfa stems and combining with the constitutive relationship of the material, the range of engineering parameters for the stems was preliminarily obtained. By conducting a Plackett–Burman experiment, the parameters that affect the maximum shearing force of stems were determined, including Poisson’s ratio in the isotropic plane, radial elastic modulus, and the sliding friction coefficient between the alfalfa stem and steel plate. By conducting the steepest ascent experiment and Box–Behnken experiment, the optimal values of Poisson’s ratio, radial elastic modulus, and sliding friction coefficient were obtained to be 0.42, 28.66 MPa, and 0.60, respectively. Finally, the double-shear experiment, radial compression experiment, and conditioning experiment were used to evaluate the accuracy of the parameters. The results showed that the average relative error between the maximum shear and the measured value was 0.88%, and the average relative error between the maximum radial contact force and the measured value was 2.13%. In the conditioning experiment, the load curve showed the same trend as the measured curve, and the simulation results could demonstrate the stress process and failure mode of alfalfa stems. The modeling and calibration method can effectively predict the stress and failure of alfalfa during conditioning.

Investigating the mechanical properties and crashworthiness of hybrid PLA/GFRP composites fabricated using FDM-filament winding

The failure and crashworthiness performance of hybrid Polylactide (PLA)/Glass Fiber Reinforced Polymer (GFRP) composite tubes subjected to axial and radial quasistatic compression loads were investigated in the present study. The composite tubes are fabricated using hand lay-up and Fused Deposition Modeling (FDM)-filament winding processes. The crashworthiness performance was studied using parameters such as the peak load, energy absorption, crush load, crushing load efficiency, and specific energy absorption. The highest peak loads from the compression test results in the axial and radial directions are calculated using variations in the filament winding PLA/GFRP (FPG) specimen, whose values were 16130.50 N and 12077.33 N, respectively. The highest mean crush load is found in the material variation with the FPG specimen, which is 5734.43 J/mm for axial loading and 4886.75 J/mm for radial loading. The highest energy absorption (EA) value is found in the material variation with the FPG specimen, which is 262.18 J for axial direction loading and 94.02 J for radial direction loading. The highest specific energy absorption (SEA) value is found in the material variation with the specimen Filament Winding PLA/GFRP, which is 16.92 J/g for axial loading and 10.98 J/g for radial loading. There are three main types of failure of the composite: matrix cracking, fiber damage, and folding. The study showed that by combining Additive Manufacturing and composite lamination, the hybrid PLA/GFRP specimen outperformed the existing structures.

Investigation of mechanical performance for tricuspid valve stent in different compression modes

Abstract The tricuspid acting as a one-way valve between the right atrium and the right ventricle of the human heart, is very important for the blood circulation system. The regurgitation will be induced if the tricuspid cannot close normally, leading to symptoms such as arrhythmia and right heart failure. In the case of severe regurgitation, replacement with an artificial tricuspid valve instead of the natural tricuspid is the promising solution. For the typical artificial tricuspid valve, the bioprosthesis valve is fixed on a tricuspid valve stent which is usually compressed before being implanted into the heart. In this study, numerical simulation with an ABAQUS standard approach is carried out with a focus on the compression process of the tricuspid valve stent to evaluate the mechanical performances of two compression methods: one is the traditional radial compression method (RCM), and another is the axial compression method (ACM) that gradually compresses through a conical channel. The results indicate that the environment temperature is closely related to the stress distribution for both the RCM and ACM, in particular, a lower temperature can result in lower stress. The maximum strain is located at the inner corner of the joint of the stent ribs and the connection between the top arm and the stent, with a value over 12% at the temperature of 0°C, indicating the possible position for failure. The average diameter-stress curves of the RCM and ACM are respectively obtained for the compression process. To achieve long operation time, the RCM is recommended from the perspective of reducing compressive stress. The present study can provide the experience for the production and clinical application of tricuspid valve stents.

Radial compression performance of glass fiber reinforced polyurethane composite tube with open-hole

Glass fiber reinforced polyurethane matrix composite (GFRP) is a novel composite material. GFRP circular tubes are widely used in engineering because of its excellent mechanical properties. It is inevitable to open holes on GFRP circular tubes when connecting with other components due to the use requirements and structural needs. The radial compression test, theoretical analysis, and finite element calculation of GFRP circular tubes produced by the braiding-winding-pultrusion process are carried out, to study the influence of holes on the compression performance of tubes. The GFRP circular tube has four layers with different fiber angles. From the inner to the outer structure layer, they are the inner woven layer, winding layer, longitudinal fiber layer, and outer woven layer. The mechanical properties of a 0° unidirectional plate are better than those of a 90° unidirectional plate according to the mechanical properties test. The radial compression tests are carried out on GFRP circular tubes with a length of 300 mm, an outer diameter of 140 mm, and a wall thickness of 6 mm. The theoretical calculation of the bearing capacity of the GFRP circular tube under the radial compression load in the elastic stage and the failure stage is well matched with the bearing capacity obtained from the test. The theoretical calculation can effectively predict the bearing capacity of the GFRP circular tube. The radial compression test of GFRP tubes is simulated by ABAQUS, which is a finite element software. The good agreement between the finite element calculation results and the test results verifies the feasibility of the finite element. Based on the above research, finite element models are established for different types of GFRP circular tubes to study the influence of opening ratio on the load borne by GFRP circular tubes. The results show that the hole with the opening rate less than or equal to 1/10 has little effect on the load of the GFRP circular tube. This paper studies the influence of opening on the radial compression properties of GFRP tubes, which has certain reference value for the opening of composite tubes in engineering.

Anchoring mechanical characteristics of Ductile-Expansion bolt

The application of ductile rock bolts has been a crucial method for solving the problems of large deformations, energy absorption and stability control issues in deep rock masses. To study the anchoring mechanism of the key expansive structure, this paper proposes a novel type of bolt — the Ductile-Expansion bolt, and conducts research on anchoring mechanics, energy absorption characteristics, and failure modes of the bolt. In addition, this paper defines the concept of load-volume ratio of metal rock bolts and proves the Ductile-Expansion bolt is capable of better improving the unit volume bearing capacity of the bolt material. Furthermore, laboratory and field tests verify the Ductile-Expansion bolt had better anchoring effect than the traditional rebar bolt, with the expansion structure favorably enhancing the ductility and energy absorption performance of the bolt. Finally, this paper microscopically analyzes the crack propagation and distribution morphology of the bolts by establishing a 3D coupled numerical model based on FDM-DEM. Numerical results illustrate the interface at the variable diameter of the Ductile-Expansion bolt serves as the transition zone between high and low stress levels. The expansion structure can impose radial compression on the medium around the bolt, which can improve the bolt anchorage performance.

Ultrasound-Based Multi-Planar Bilateral Comparisons as a Diagnostic and Treatment-Definition Method for Unilateral Peripheral Nerve Entrapment.

The primary goal was to determine the performance of the cross-section area swelling rate (CSASR) for diagnostic and therapeutic purposes based on the reference standard of electrodiagnosis examination (EDX) in this diagnostic test study. First, patients with symptoms like unilateral carpal tunnel syndrome (CTS), cubital tunnel syndrome (CuTS), and radial nerve compression (RNC) underwent EDX and ultrasound examination. Second, patients with positive ultrasound were calculated for the CSASR of diseased nerve. Based on previously established CSASR criteria, each patient was categorized as having or not having peripheral nerve entrapment, and for those meeting diagnostic criteria, non-surgical or surgical treatment was recommended. Then, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy rate (ACC) of ultrasound diagnosis and therapeutic decision-making were calculated based on the reference standard of EDX that had been historically used in the practice. The total sensitivity, specificity, PPV, NPV, and ACC of ultrasound diagnosis are respectively 93.4, 85.2, 94.7, 82.1, and 91.3%. Which of therapeutic decision-making by ultrasound are, respectively, 83.3, 52.2, 78.4, 60.0, and 73.2%. The sensitivity and Youden's index of CSASR diagnostic threshold for CuTS is higher than other ultrasound methods. The CSASR diagnostic threshold for CuTS has a potential diagnostic role, but the current date is still not enough to support the potential diagnostic role for CTS or RNS. There is insufficient evidence to suggest that CSASR for CuTS can be used in isolation for diagnosis. Additional research is needed to confirm the diagnostic role of CSASR. The current results suggest that this ultrasound examination method is not suitable for therapeutic decision-making.

Impact of hypertension and arterial wall expansion on transport properties and atherosclerosis progression

This study explored the impact of hypertension on atheroma plaque formation through a mechanobiological model. The model incorporates blood flow via the Navier–Stokes equation. Plasma flow through the endothelium is determined by Darcy’s law and the Kedem–Katchalsky equations, which consider the three-pore model utilized for substance flow across the endothelium. The behaviour of these substances within the arterial wall is described by convection–diffusion–reaction equations, while the arterial wall itself is modelled as a hyperelastic material using Yeoh’s model. To accurately evaluate hypertension’s influence, adjustments were made to incorporate wall compression-induced wall compaction by radial compression. This compaction impacts three key variables of the transport phenomena: diffusion, porosity, and permeability. Based on the obtained findings, we can conclude that hypertension significantly augments plaque growth, leading to an over 400% increase in plaque thickness. This effect persists regardless of whether wall mechanics are considered. Tortuosity, arterial wall permeability, and porosity have minimal impact on atheroma plaque growth under normal arterial pressure. However, the atheroma plaque growth changes dramatically in hypertensive cases. In such scenarios, the collective influence of all factors—tortuosity, permeability, and porosity—results in nearly a 20% increase in plaque growth. This emphasizes the importance of considering wall compression due to hypertension in patient studies, where elevated blood pressure and high cholesterol levels commonly coexist.

Nonlinear behavior analysis of smooth bore unbonded flexible pipes under radial compression

Smooth bore unbonded flexible pipes are widely used to transport oil and gas in offshore fields. Due to its main application in shallow water, the radial bearing capacity is usually designed to be low for economic reasons. If the compressive load applied by tensioner equipment is too high during installation, the flexible pipe will fail due to excessive deformation. In this paper, the nonlinear behavior of smooth bore flexible pipes passing through tensioner equipment was investigated numerically and experimentally. A three-dimensional numerical model considering the nonlinear behavior of the materials, layer-to-layer contacts, and friction for flexible pipe radial compression analysis was established. A radial compression test was conducted to verify the accuracy of the numerical model; Then the numerical model was used to analyze the radial compressive behavior of each layer, and its load-bearing capacities and failure mechanisms were investigated. Finally, a parametric study was performed on the opening angle and number of tensioner tracks. The results of this study can provide a useful reference for the installation of smooth bore flexible pipes.

Efficacy and safety of early release radial compression time in patient with radial air-inflated pressure device in Ha Noi Medical University Hospital

ABSTRACT Objectives: The study aims to evaluate the safety of early - release radial compression time in patients with radial air-inflated pressure devices and to compare the efficacy of early - release radial compression time in patients with radial air - inflated pressure devices with standard methods. Short-time hemostasis is one of the strategies to prevent complications related to the radial artery compression band. Long - time hemostasis in standard protocol may not be necessary. Methods: 141 patients having radial air-inflated devices were observed. Group 1 contains patients with the early releasing method in which medical staff releases 10 percent of air volume in the compression device every hour. Group 2 contains patients with the standard method of medical staff releasing 10 percent of air volume in compression devices every two hours. The bleeding rate, pain score, and discomfort level were compared between the two groups. Results: There was no statistical difference in the distribution of baseline characteristics. 2.8% of the group 1 developed swollen in the radial area, which had a diameter of less than 5 cm and needed to re - inflate again. There was no statistical difference between the two groups in bleeding percentages, with a p - value of 0,496 (p &gt; 0.05). There is an obvious statistical difference in pain score and discomfort level between group 1 and group 2. The patients in Group 1 had less pain and lower discomfort level than Group 2. Conclusions: Release the proper pressure in the compression device from the first hour to every continuous hour is safe and benefits the patient by reducing pain, and uncomfortable level.

Evaluation of the safety and efficacy of the Axiostat® dressing device to achieve radial artery access hemostasis: The R3A study.

Radial access is the default approach in interventional cardiology. The Axiostat® surgical hemostatic dressing, using chitosan as its active component, has demonstrated potential in accelerating blood clotting. This study aims to assess the efficacy and the safety of the Axiostat® dressing in achieving hemostasis in patients undergoing transradial coronary angioplasty (TRCA). This prospective, single-center observational study, conducted in 2022, enrolled consecutive patients undergoing TRCA, with a target of 150 participants. The primary outcome was the success rate of radial artery hemostasis at 120 min, without bleeding necessitating immediate re-compression. The secondary outcome included Axiostat® performance at 24 h and 30 days Postprocedure. The study was terminated prematurely for ethical and patient safety reasons, after inclusion of 41 consecutive TRCA patients due to an unexpectedly high radial artery thrombosis rate (19.5%, n = 8/41) observed 24 h Postprocedure. The success rate of radial hemostasis with the Axiostat® dressing was 78.0%. Procedural details and patient characteristics were comparable between successful Axiostat® removal and device failure cases. The use of the Axiostat® dressing to achieve hemostasis after TRCA is effective but is associated with an unexpectedly high incidence of radial thrombosis. Our results should encourage caution in the future evaluation and use of this device for radial artery compression following TRCA.