A topical hemostatic patch placed under a standard air-bladder bracelet reduces the time to hemostasis after transradial cardiac catheterization without increasing complications, according to results from the STAT2 trial.
The average time to successful hemostasis fell from 113 minutes with the air-bladder bracelet alone (TR Band, Terumo) to 66 minutes when coupled with the StatSeal (Biolife) hemostatic patch (P < .001).
"On average, most people take about 2 hours with the TR Band alone to provide hemostasis, instead you have this oozing and rebleeding," study author Arnold Seto, MD, MPA, said at the Society for Cardiovascular Angiography and Interventions (SCAI) 2021 Scientific Sessions.
There was no rebleeding requiring reinflation among patients treated with the patch, whereas 67.3% of those treated with the band alone required reinflation an average of 2.3 times because of bleeding at 60 minutes.
Potential implications of the findings are earlier discharge after catheterization, especially after percutaneous coronary intervention (PCI); reduced nursing burden, time, and costs; and reduced heparin doses below the usual 5000 recommended units, said Seto, from the Long Beach VA Medical Center, California.
He noted that there is no standardized protocol for compression with the TR Band, with wide variances in clinical practice.
