TR BAND REMOVAL PROTOCOL
RADIAL ACCESS PROTOCOL
The patients evaluated are patients undergoing PTCA for known coronary occlusive anatomy, following a positive coronary CT scan confirmed by angiographic images. The procedure is carried out using Radiofocus 7Fr into 6Fr introducer. The hemodynamic doctor evaluates, pre-procedure, the characteristics of the conventional and distal right and left radial arteries. The puncture of the radial artery is performed with the Seldinger technique without the use of Doppler ultrasound
TR BANDTM APPLICATION PROTOCOL
The TR Band is placed aligning the green marker 1-2mm above the insertion point of the radial introducer. The TR Band compression balloon is inflated up to 14-15 ml, the introducer is removed, hemostasis is verified, by deflating the syringe until blood drips appear and it is reinflated until complete hemostasis is achieved.
TR BANDTM (TERUMO) IS USED AS STANDARD DEVICE |
INITIAL VOLUME OF INFLATION |
PATENT HEMOSTASIS CHECK AT APPLICATION? |
|
15 |
|
TR BANDTM (TERUMO) IS USED AS STANDARD DEVICE |
|
INITIAL VOLUME OF INFLATION |
15 |
PATENT HEMOSTASIS CHECK AT APPLICATION? |
|
TR BANDTM DEFLATION & REMOVAL PROTOCOL
TIME BEFORE FIRST DEFLATION |
TIME BETWEEN OTHER DEFLATION(S) |
TIME BETWEEN DEFLATION IF REBLEEDING |
AVERAGE VOLUME AT EACH DEFLATION |
20 |
20 |
10 |
2 |
TIME BEFORE FIRST DEFLATION |
20 |
TIME BETWEEN OTHER DEFLATION(S) |
20 |
TIME BETWEEN DEFLATION IF REBLEEDING |
10 |
AVERAGE VOLUME AT EACH DEFLATION |
2 |
DISCHARGE PROTOCOL
At the end of the deflation process, the insertion site of the introducer is evaluated and a flat dressing is applied. The reverse Barbeau test is performed to assess the presence of RAO. A pre-discharge Doppler ultrasound is performed by the doctor.
TIPS & TRICKS TO IMPROVE RADIAL ACCESS & DAILY WORKLOAD
Our focus is on patient, aimed at limiting wrist moviments with the TR Band, keeping the arm unloaded on the abdomen until the device is completely removed.
|
7.49 |
||
Average time to hemostasis - Interventional Procedure |
128.82 mins |
||
Average RAO following completion of hemostasis |
11.54% |
