Minimal Individual Haemostasis (Mih) - Feasibility in Conventional and Distal Trans-Radial Approach

Abstract

Abstract There is a growing use of trans-radial catheterisation for angiography and percutaneous interventions. The advantages of trans-radial over traditional femoral access include a decrease in the incidence of access site bleeding complications and improved patient comfort and recovery. Ensuring short haemostasis, which controls arterial bleeding after transracial interventions, but at the same time maintains radial arterial flow, appears to be the most important factor in reducing peri-procedural complications, especially radial artery occlusion (RAO). We evaluated the technical feasibility of our gradual deflation haemostasis method in a population of patients treated by both conventional and distal trans-radial approach, within 1 month period. A feasibility assessment was performed for 101 patients to assess whether our hemostasis technique could be performed safely. We concluded that our technique is feasible after trans-radial approach, in both categories of access, conventional or distal. The rate of peri-procedural complications was low and related to the type of approach used, with more positive results on the distal trans-radial approach.