Preventing and Managing Radial Artery Bleeding following Transradial Procedures: Strategies and Considerations

Authors

DOI:

https://doi.org/10.30994/jnp.v9i1.916

Keywords:

bleeding, mechanical compression, transradial access

Abstract

Background: Cardiac catheterization is an invasive diagnostic procedure using one or more catheters inserted into the heart and certain blood vessels to determine the degree of narrowing in the coronary arteries. Catheterization access through the radial artery shows better results that are not free from complications of bleeding and hematoma.

Purpose: To determine whether there is a relationship between the duration of mechanical compression of the radial artery and the incidence of bleeding.

Methods: Quantitative cross Sectional . The sample size was 40 patients, divided into 2 groups, namely 20 respondents who in aff mechanical compression at three hours and 20 respondents at four hours.

Results: Observations were made every 15 minutes in the first hour, every 30 minutes in the second hour, and every 1 hour in the following hours. Research results: The chi-square test obtained p = 0.038¸ p value ≤ α (0.05) then H0 was rejected, which is statistically interpreted as a relationship, so it can be concluded that there is a significant relationship between the duration of aff mechanical compression on the radial artery and bleeding in post-operative corangiography patient.

Conclusion: There is a significant relationship between the duration of aff mechanical compression of the radial artery and bleeding in post corangiography standby PCI patients. Optimal compression duration is essential to minimize bleeding complications and improve the safety of the procedure.

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References

Aoun, J., Hattar, L., Dgayli, K., Wong, G., & Bhat, T. (2019). Update on complications and their management during transradial cardiac catheterization. Expert Review of Cardiovascular Therapy, 17(10), 741–751.

Campos, M. A. de C., Alves, C. M. R., Tsunemi, M. H., Peterlini, M. A. S., & Avelar, A. F. M. (2018). Randomized clinical study on radial artery compression time after elective coronary angiography. Revista Latino-Americana de Enfermagem, 26, e3084.

Córdova, E. S. M., Santos, L. R. dos, Toebe, D., Moraes, M. A. P. de, & Souza, E. N. de. (2018). Incidence of hemorrhagic complications with use of a radial compression device: a cohort study. Revista Da Escola de Enfermagem Da USP, 52, e03410.

Durachim, A. dan A. (2018). Hemostasis.

Eid-Lidt, G., Reyes-Carrera, J., Farjat-Pasos, J. I., Saenz, A. L., Bravo, C. A., Rangel, S. N., Salido, D. Z., Vega Servin, N. S., Soto-López, M. E., & Gaspar, J. (2022). Prevention of radial artery occlusion of 3 hemostatic methods in transradial intervention for coronary angiography. Cardiovascular Interventions, 15(10), 1022–1029.

Ibanez, B., Halvorsen, S., Roffi, M., Bueno, H., Thiele, H., Vranckx, P., Neumann, F.-J., Windecker, S., & James, S. (2018). Integrating the results of the Culprit-Shock trial in the 2017 ESC ST-elevation myocardial infarction guidelines: viewpoint of the task force. European Heart Journal, 39(48), 4239–4242.

Jia, D., Chen, Y., Liu, C., Ding, S., & Fang, Y. (2024). Investigating optimal compression approach following radial artery puncture: a retrospective study. American Journal of Translational Research, 16(6), 2389–2397. https://doi.org/10.62347/BWUP6404.

Kemenkes RI. (2021). Peringatan Hari Jantung Sedunia 2021: Jaga Jantungmu untuk Hidup Lebih Sehat.

Lavi, S., Cheema, A., Yadegari, A., Israeli, Z., Levi, Y., Wall, S., Alemayehu, M., Parviz, Y., Murariu, B.-D., McPherson, T., Syed, J., & Bagur, R. (2017). Randomized Trial of Compression Duration After Transradial Cardiac Catheterization and Intervention. Journal of the American Heart Association, 6(2). https://doi.org/10.1161/JAHA.116.005029.

Lounes, M. S., Meftah, A., Bedjaoui, A., Belhadi, C., Allal, K., Boulaam, H., Sayah, A., Hafidi, I., Tebache, E., & Allali, A. (2025). Incidence and predictors of radial artery occlusion following transradial coronary procedures. TAVI Systems Designed for Pure AR, 15.

Maqsood, M. H., Pancholy, S., Tuozzo, K. A., Moskowitz, N., Rao, S. V, & Bangalore, S. (2023). Optimal hemostatic band duration after transradial angiography or intervention: insights from a mixed treatment comparison meta-analysis of randomized trials. Circulation: Cardiovascular Interventions, 16(2), e012781.

Megaly, M., Glogoza, M., Xenogiannis, I., Vemmou, E., Nikolakopoulos, I., Willson, L., Monyak, D. J., Sullivan, P., Stanberry, L., & Sorajja, P. (2021). Outcomes of intravascular brachytherapy for recurrent drug‐eluting in‐stent restenosis. Catheterization and Cardiovascular Interventions, 97(1), 32–38.

Nielsen, C. G. A., Rasmussen, M. B., Rhode, P. T., Bagner, D. V., Jensen, R. V., Jakobsen, L., Støttrup, N. B., Veien, K. T., Larsen, E. N., & Charlot, M. G. (2025). Randomized comparison of rapid versus oximetry guided deflation of the transradial-band after coronary angiography or angioplasty. International Journal of Cardiology, 419, 132708.

Nobrega, E. R. A., Covello, C. M., Buril, G. de O., Carvalho, P. de O., Sobral, P. D., Batista, L. L., & Victor, E. G. (2018). Randomized comparison of hemostasis times after radial access for cardiac catheterization. J Transcat Intervent, 26.

Nur Fadhilah, I. (2023). Efektivitas Kombinasi Cold Pack Dan Stepty P Terhadap Kejadian Hematoma Pada Pasien Post Coronary Angiography (Cag) Di Rsi Sultan Agung Semarang. Universitas Islam Sultan Agung Semarang.

Rahmawati, I., Dwiana, D., & Ratiyun, R. S. (2020). Hubungan Diabetes Melitus (DM) dengan Penyakit Jantung Koroner (PJK) pada Pasien yang Berobat di Poli Jantung: Ida Rahmawati. Jurnal Kesehatan Dr. Soebandi, 8(1), 56–62.

Reddy, B., & Kumar, V. V. (2025). Evaluating Radial vs. Femoral Access in Percutaneous Coronary Intervention at a Tertiary Care Hospital: A Prospective Observational Study. European Journal of Cardiovascular Medicine, 15, 173–180.

Roberts, J. S., Niu, J., & Pastor-Cervantes, J. A. (2019). Comparison of hemostasis times with a chitosan-based hemostatic pad (Clo-SurPlus RadialTM) vs mechanical compression (TR band®) following transradial access: A pilot study. Cardiovascular Revascularization Medicine, 20(10), 871–874.

Roy, S., Kabach, M., Patel, D. B., Guzman, L. A., & Jovin, I. S. (2022). Radial artery access complications: prevention, diagnosis and management. Cardiovascular Revascularization Medicine, 40, 163–171.

Sadaka, M. A., Etman, W., Ahmed, W., Kandil, S., & Eltahan, S. (2019). Incidence and predictors of radial artery occlusion after transradial coronary catheterization. The Egyptian Heart Journal, 71(1), 12.

Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of Translational Medicine, 4(13), 256.

Sipollo, B. V., & Vinsur, E. Y. Y. (2023). The Effect of Traditional Jamu with Polyphenol-Rich Mixture Content on Cholesterol Levels in the Elderly with Coronary Heart Disease. Babali Nursing Research, 4(4), 651–663.

Takamatsu, S., Kagiyama, N., Sone, N., Tougi, K., Yamauchi, S., Yuri, T., Ii, N., Sugimoto, T., Masutani, M., & Hirohata, A. (2023). Impact of radial compression protocols on radial artery occlusion and hemostasis time in coronary angiography. Cardiovascular Intervention and Therapeutics, 38(2), 202–209.

Ueshima, D., Nai Fovino, L., Mojoli, M., Napodano, M., Fraccaro, C., & Tarantini, G. (2018). The interplay between permanent pacemaker implantation and mortality in patients treated by transcatheter aortic valve implantation: a systematic review and meta‐analysis. Catheterization and Cardiovascular Interventions, 92(3), E159–E167.

WHO. (2018). WHO recommendations for the prevention and treatment of postpartum haemorrhage.

WHO. (2025). Cardiovascular diseases. https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1.

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Published

2025-10-28

How to Cite

Istianah, Yuly Peristiowati, Hariyono, Theophylia Melisa Manumara, & Miftahuddin Sani. (2025). Preventing and Managing Radial Artery Bleeding following Transradial Procedures: Strategies and Considerations. Journal Of Nursing Practice, 9(1), 229–236. https://doi.org/10.30994/jnp.v9i1.916

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