Study on the hemostatic effect of chitosan hemostatic sponge combined with spiral radial artery compressor after transradial percutaneous coronary intervention

Yu Longhui; Song Mengli; Chen Liyan; Tan Wenliang; Cai Lu; Xiong Hongying; Tu Weiling; Li Linfeng; Kang Xinjun

doi:10.3760/j.issn.1673-4777.2024.06.002

Abstract：Objective To explore the hemostatic effect of chitosan hemostatic sponge combined with spiral radial artery compressor after transradial percutaneous coronary intervention(TRI).Methods From April 2021 to July 2022,295 patients who underwent coronary angiography or interventional therapy for coronary atherosclerotic heart disease in the fourth district of the Department of Cardiovascular Medicine,Jiangxi Provincial People's Hospital were selected.The patients were randomly divided into spiral radial artery compressor group(group A,99 cases),chitosan hemostatic sponge group(group B,98 cases),and chitosan hemostatic sponge combined with spiral radial artery compressor group(group C,98 cases).The three groups were treated with corresponding methods to stop bleeding.The postoperative radial artery complications and patient comfort were observed and recorded in the three groups.Results The incidence rates of postoperative bleeding in group A,group B,and group C were 13.1％(13/99),5.1％(5/98),and 3.1％(3/98),respectively,and there were significant differences in the incidence of postoperative bleeding,ecchymosis and acral swelling among the three groups(all P＜0.05).Group A was higher than group C in pairwise comparison(P＜0.05).The incidence of postoperative radial hematoma in group A was higher than that in group C(P=0.008).No severe limb swelling and other serious complications occurred in all patients.The comfort level of patients in group C was better than that in group A(P=0.004).Conclusion The overall hemostatic effect of chitosan hemostatic sponge combined with spiral radial artery compressor is better than that of spiral radial artery compressor and chitosan hemostatic sponge alone after TRI.It can reduce the incidence of postoperative vascular complications and improve the comfort of patients.It is a simple operation,high comfort,less complications,safe and reliable method of dressing hemostasis.