Prevention of Radial Artery Occlusion After Transradial Catheterization The PROPHET-II Randomized Trial

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00669806%3A_____%2F16%3A10329488" target="_blank" >RIV/00669806:_____/16:10329488 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11140/16:10329488

Result on the web

<a href="http://dx.doi.org/10.1016/j.jcin.2016.07.020" target="_blank" >http://dx.doi.org/10.1016/j.jcin.2016.07.020</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.jcin.2016.07.020" target="_blank" >10.1016/j.jcin.2016.07.020</a>

Result language

angličtina

Original language name

Prevention of Radial Artery Occlusion After Transradial Catheterization The PROPHET-II Randomized Trial

Original language description

OBJECTIVES The study sought to evaluate whether prophylactic ipsilateral ulnar artery compression during radial artery hemostasis could reduce the risk of radial artery occlusion (RAO). BACKGROUND RAO after transradial access (TRA) is a structural complication of TRA. It limits future ipsilateral TRA and may cause transient pain. Maintaining radial artery flow during hemostasis reduces the incidence of acute RAO. Ipsilateral ulnar compression increases radial artery flow and could impact the incidence of RAO. METHODS Three thousand patients undergoing diagnostic cardiac catheterization using TRA were randomized to receive either standard patent hemostasis protocol (Group I) or prophylactic ipsilateral ulnar compression in addition to patent hemostasis (Group II). Using plethysmography, radial artery patency was evaluated at the time of removal of the compression device as well as 24 h and 30 days after the procedure. The primary study endpoint was 30-day RAO. RESULTS The primary endpoint, 30-day RAO, was significantly reduced in patients with patent hemostasis and prophylactic ulnar compression compared with standard patent hemostasis (0.9% vs. 3.0%; p = 0.0001). Baseline patient and procedural characteristics were similar between the 2 groups. RAO was significantly reduced by prophylactic ulnar compression at all time intervals (p < 0.0001). CONCLUSIONS Prophylactic ipsilateral ulnar compression during radial artery hemostasis is an effective, simple, and inexpensive technique that lowers the risk of RAO after TRA. (C) 2016 by the American College of Cardiology Foundation.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FA - Cardiovascular diseases including cardio-surgery

OECD FORD branch

—

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

JACC: Cardiovascular Interventions

ISSN

1936-8798

e-ISSN

—

Volume of the periodical

9

Issue of the periodical within the volume

19

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

1992-1999

UT code for WoS article

000385714600005

EID of the result in the Scopus database

2-s2.0-84994067178