Sammanfattning
Background: On compressing the radial artery after coronary angiography and percutaneous
coronary intervention (PCI), complications may occur. Follow-up of compression is a nursing task.
There is little systematic knowledge about the complications of the various compression methods.
Objective: To investigate early complications such as bleeding, hematomas and pain/discomfort by
comparing three different compression methods measured 15 min and four hours after radial
puncture for invasive coronary procedures.
Method: A randomized controlled trial (RCT) was conducted with 277 patients who underwent coronary
angiography and/or PCI. The methods used were compression roll, Radi-Stop® and TR BandTM.
Result: There were few complications. Bleeding was rare after 15 min. On removal of compression
there was a significantly lower occurrence of bleeding using compression roll (p = 0,003).
Hematomas occurrences were small for all three methods (3,5±1,5 and 2,9±1,4 cm) with no
significant difference between the methods (p = 0,13 and p = 0,10) 15 min and four hours after
compression. Little pain/discomfort was reported, with no significant differences at the two measuring
times (p = 0,06 and p =0,75).
Conclusion: Use of compression roll, Radi-Stop or TR BandTM results in a low incidence of
hematoma and pain/discomfort after radial puncture at invasive coronary procedures. Compression
roll provides a significantly lower incidence of bleeding when removing compression after four hours.