Introducere: Bandage and physical compression are a traditional hemostatic method that is most common-ly used to achieve successful hemostasis and reduce the incidence of complications after catheter removal. Given the shortage of time and relative lack of human resources in the emergency department, compressive devices could be useful for preventing bleeding after RAC (radial artery cannulation). Today, the interna-tional market proposes a wide range of solutions to post-catheterization hemostasis of the radial artery. The concept of using radial compression devices invol-ves ensuring successful hemostasis immediately after application and for a long term, minimizing the rate of post-catheterization complications.
Objective: T his study aims to establish the efficiency of using radial compression devices in relation to the feasibility and harmlessness of the classic bandage.
Methods: Bandage and physical compression are a traditional hemostatic method that is most common-ly used to achieve successful hemostasis and reduce the incidence of complications after catheter removal. Given the shortage of time and relative lack of human resources in the emergency department, compressive devices could be useful for preventing bleeding after RAC (radial artery cannulation). Today, the interna-tional market proposes a wide range of solutions to post-catheterization hemostasis of the radial artery. The concept of using radial compression devices invol-ves ensuring successful hemostasis immediately after application and for a long term, minimizing the rate of post-catheterization complications. This study aims to establish the efficiency of using radial compression devices in relation to the feasibility and harmlessness of the classic bandage.
Results: The results of the study are based on 2 stages: Stage I – successful haemostasis, stage II- low rate of post-catheterization complications. Main results: 94% patients in both groups had successful hemosta-sis, and 1.5% (3) patients had hemorrhage or signs of hemorrhage at 15 min after catheterization (p=0.18); 3.0% (6) patients experienced swelling or hematoma of different grade of the upper limb (p>0.05); 1.5% (3) (p>0.05) patients experienced remarkable complications of the OAR type (radial artery occlusion). Results per gruops: 97 patients in group D (device) – achieved successful results; 1 case of minor hemorrhage to 15 min. after the radial cannula has been removed; 2 ca-ses of hematoma of the forearm; 91 patients in group S (standard bandage) – achieved successful hemostasis; 2 cases of minor hemorrhage; 4 cases of forearm hema-toma; Three patients showed signs of transient radial ischemia (the proper occlusion could not be demonstrated without Doppler USG).
Conclusions: T he number of post-application com-plications of both the One Seal device and the usual bandage does not differ considerably. However, trailing ischemic complications were determined only when applying classic bandage. Radial compression devices are effective and feasible in preventing possible vascu-lar occlusions, being constructed on the principle of preserving arterial flow while applying compression in the radiocarpal region. The mechanical compression radial system can effectively prevent the hematomas and the swelling of the forearm caused by compression of the venous system.