DOI: 10.38053/acmj.1957522 ISSN: 2718-0115

A comparison of manual compression and closure device for hemostasis after transradial coronary procedures

Sefa Sural, Vedat Aslan
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Aims: Optimal hemostasis following transradial coronary procedures remains important for minimizing vascular complications. This study compared manual compression and closure device strategies for postprocedural radial hemostasis.Methods: A total of 111 patients undergoing transradial coronary procedures were retrospectively analyzed. Patients were divided according to the hemostasis technique: closure device (n=70) and manual compression (n=41). Clinical, procedural, and laboratory characteristics, hemostasis duration, and vascular complications, including radial artery occlusion (RAO), radial artery spasm (RAS), hematoma, and major bleeding, were evaluated. Adjusted bootstrap linear regression analysis was performed to assess the independent association between hemostasis method and hemostasis duration.Results: Baseline clinical, procedural, and laboratory characteristics were comparable between groups. Hemostasis duration was significantly longer in the closure device group than in the manual compression group [108.0 (82.0-164.8) vs. 15.0 (10.0-18.0) min, p

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