A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial
Background. Despite the enormous benefits of radial access, this route is associated with a risk of radial artery occlusion (RAO). Objective. We compared the incidence of RAO in patients undergoing transradial coronary angiography and intervention after short versus prolonged hemostasis protocol. Al...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/7928961 |
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| author | Dmitrii V. Ognerubov Alexander Sedaghat Sergey I. Provatorov Andrey S. Tereshchenko Olivier F. Bertrand Ivo Bernat Goar K. Arutyunyan Olga A. Pogorelova Maria I. Tripoten Tatyana V Balakhonova. Anatoliy N. Samko Evgeny V. Merkulov |
| author_facet | Dmitrii V. Ognerubov Alexander Sedaghat Sergey I. Provatorov Andrey S. Tereshchenko Olivier F. Bertrand Ivo Bernat Goar K. Arutyunyan Olga A. Pogorelova Maria I. Tripoten Tatyana V Balakhonova. Anatoliy N. Samko Evgeny V. Merkulov |
| author_sort | Dmitrii V. Ognerubov |
| collection | DOAJ |
| description | Background. Despite the enormous benefits of radial access, this route is associated with a risk of radial artery occlusion (RAO). Objective. We compared the incidence of RAO in patients undergoing transradial coronary angiography and intervention after short versus prolonged hemostasis protocol. Also we assessed the efficacy of rescue 1-hour ipsilateral ulnar artery compression if RAO was observed after hemostasis. Material and Methods. Patients referred for elective transradial coronary procedures were eligible. After 6 F radial sheath removal, patients were randomized to short (3 hours) (n = 495) or prolonged (8 hours) (n = 503) hemostasis and a simple bandage was placed over the puncture site. After hemostasis was completed, oximetry plethysmography was used to assess the patency of the radial artery. Results. One thousand patients were randomized. Baseline characteristics were similar between both groups with average age 61.4 ± 9.4 years (71% male) and PCI performed on half of the patients. The RAO rate immediately after hemostasis was 3.2% in the short hemostasis group and 10.1% in the prolonged group (p<0.001). Rescue recanalization was successful only in the short group in 56.2% (11/19); at hospital discharge, RAO rates were 1.4% in the short group and 10.1% in the prolonged group (p<0.001). Conclusion. Shorter hemostasis was associated with significantly less RAO compared to prolonged hemostasis. Rescue radial artery recanalization was effective in > 50%, but only in the short hemostasis group. |
| format | Article |
| id | doaj-art-e6a9377249a145e6a3488f51c264dfb1 |
| institution | Kabale University |
| issn | 0896-4327 1540-8183 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-e6a9377249a145e6a3488f51c264dfb12025-02-03T01:07:08ZengWileyJournal of Interventional Cardiology0896-43271540-81832020-01-01202010.1155/2020/79289617928961A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO TrialDmitrii V. Ognerubov0Alexander Sedaghat1Sergey I. Provatorov2Andrey S. Tereshchenko3Olivier F. Bertrand4Ivo Bernat5Goar K. Arutyunyan6Olga A. Pogorelova7Maria I. Tripoten8Tatyana V Balakhonova.9Anatoliy N. Samko10Evgeny V. Merkulov11National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaMedizinische Klinik und Poliklinik II, Universitätsklinikum Bonn, Bonn, GermanyNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaQuebec Heart-Lung Institute, Quebec, CanadaUniversity Hospital and Faculty of Medicine Pilsen, Pilsen, Czech RepublicNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaNational Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, RussiaBackground. Despite the enormous benefits of radial access, this route is associated with a risk of radial artery occlusion (RAO). Objective. We compared the incidence of RAO in patients undergoing transradial coronary angiography and intervention after short versus prolonged hemostasis protocol. Also we assessed the efficacy of rescue 1-hour ipsilateral ulnar artery compression if RAO was observed after hemostasis. Material and Methods. Patients referred for elective transradial coronary procedures were eligible. After 6 F radial sheath removal, patients were randomized to short (3 hours) (n = 495) or prolonged (8 hours) (n = 503) hemostasis and a simple bandage was placed over the puncture site. After hemostasis was completed, oximetry plethysmography was used to assess the patency of the radial artery. Results. One thousand patients were randomized. Baseline characteristics were similar between both groups with average age 61.4 ± 9.4 years (71% male) and PCI performed on half of the patients. The RAO rate immediately after hemostasis was 3.2% in the short hemostasis group and 10.1% in the prolonged group (p<0.001). Rescue recanalization was successful only in the short group in 56.2% (11/19); at hospital discharge, RAO rates were 1.4% in the short group and 10.1% in the prolonged group (p<0.001). Conclusion. Shorter hemostasis was associated with significantly less RAO compared to prolonged hemostasis. Rescue radial artery recanalization was effective in > 50%, but only in the short hemostasis group.http://dx.doi.org/10.1155/2020/7928961 |
| spellingShingle | Dmitrii V. Ognerubov Alexander Sedaghat Sergey I. Provatorov Andrey S. Tereshchenko Olivier F. Bertrand Ivo Bernat Goar K. Arutyunyan Olga A. Pogorelova Maria I. Tripoten Tatyana V Balakhonova. Anatoliy N. Samko Evgeny V. Merkulov A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial Journal of Interventional Cardiology |
| title | A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial |
| title_full | A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial |
| title_fullStr | A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial |
| title_full_unstemmed | A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial |
| title_short | A Randomized Trial Comparing Short versus Prolonged Hemostasis with Rescue Recanalization by Ipsilateral Ulnar Artery Compression: Impact on Radial Artery Occlusion—The RESCUE-RAO Trial |
| title_sort | randomized trial comparing short versus prolonged hemostasis with rescue recanalization by ipsilateral ulnar artery compression impact on radial artery occlusion the rescue rao trial |
| url | http://dx.doi.org/10.1155/2020/7928961 |
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