Comparison of the Teleflex Vasc Band Hemostat and the Terumo Radial (TR) Band Compression Device After Transradial Cardiac Catheterization: A Retrospective Study.

PURPOSE: Transradial access has emerged as the preferred approach for cardiac catheterization. A comprehensive evaluation of the available hemostatic compression devices is necessary, as their use may impact clinical outcomes. This study aimed to compare the time to hemostasis and the rate of early local vascular complications in patients greater than or equal to 18 years of age treated with either a Vasc Band hemostat or a Terumo Radial (TR) Band compression device after transradial cardiac catheterization.

DESIGN

Single-center, retrospective cohort study.

METHODS

The sample included 250 patients who underwent transradial cardiac catheterization from September 2022 to December 2022 at a 280-bed community hospital. Data were manually extracted from the electronic medical record system. The Mann-Whitney U test was used to assess the difference in time to hemostasis between groups. The χ2 analyses was used to determine differences in rates of early local vascular complications between the groups.

FINDINGS: There were no statistical differences in baseline and procedural characteristics between the two groups. For patients who underwent a diagnostic left heart catheterization only, there was a significant difference in time (minutes) to hemostasis between the two devices: (Md = 57, n = 164), U = 3517, z = 2.940, P = .003. Time (minutes) to hemostasis was reduced with Vasc Band (Md = 54.5, n = 118) than TR Band (Md = 68.5, n = 46). No significant differences in time to hemostasis were found between the two devices among patients who underwent percutaneous coronary intervention: (Md = 154.5, n = 56), U = 343, z = 0.205, P = .838. There were no significant differences in bleeding, hematoma formation, or ecchymosis between the band types.

CONCLUSIONS

This study is the first to compare outcomes of cardiac catheterization patients treated with the Vasc Band compared with the TR Band. Future prospective studies should assess the clinical outcomes of the Vasc Band in comparison with other radial artery compression devices.