Distal radial artery compression bandage makes coronary intervention patients more "comfortable."

Distal Radial artery compression bandage makes coronary intervention patients more "comfortable."

Since January this year, Liang Chuanliang, director of the 19th ward of the Department of Cardiovascular Medicine of Shimen County People's Hospital, and Dr. Jiang Dong have worked closely together and made bold innovations to successfully perform distal radial artery puncture for coronary angiography on many patients requiring coronary intervention. The successful implementation of this technology has filled the technical gap in distal radial artery puncture and interventional diagnosis and treatment in Shimen County, greatly enriched the coronary intervention methods, improved the safety of the operation, alleviated the patient's pain, and improved the patient's comfort. Currently, about 60% of patients in the department who require coronary intervention with the help of the Surgical Products.

Director Liang Chuanliang said that coronary intervention pathways mainly include transfemoral artery approach and transradial artery approach. After femoral artery puncture by Surgical instruments, patients often need to lie down and immobilize their lower limbs for 24 hours with Radial Artery Hemostatic Torniquet. There are many complications such as puncture point bleeding, femoral artery thrombosis, infection, and femoral arteriovenous fistula.

The radial artery approach is currently the first choice for coronary intervention, but the radial artery is surrounded by the carpal tunnel and adjacent to the radial nerve. After conventional radial artery puncture and interventional surgery at the wrist, the patient will feel pain and discomfort in the wrist and even the forearm. Common complications such as anterior wall hematoma. Routine transradial artery interventional diagnosis and treatment will have a certain rate of radial artery occlusion.

In addition, some patients have structural abnormalities in the radial artery. Failure of conventional radial artery puncture or local scar formation after repeated radial artery puncture will make it difficult. The distal radial artery puncture approach has become the best complement to coronary interventional therapy.

The main advantages of transradial artery intervention are in five aspects:

1. The operation is safer: the distal radial artery in the snuff bottle area is relatively large and fixed, and is located at the proximal end of the thumb artery, which will not affect the blood supply to the thumb; it does not damage the main radial artery and avoids radial artery occlusion, and the preserved radial artery can be used as the source of the arterial bridge in cardiac bypass surgery can be treated with interventional therapy.

2. The surgery is more minimally invasive: the distal radial artery puncture site is the snuff bottle area, which supplies blood to both sides, has good pulsation, and has a high puncture success rate; the distal radial artery approach can even reversely open the occluded radial artery.

3. Lower complication rate: The distal radial artery is mostly surrounded by bony structures, so the incidence of hematoma, neurological complications, arteriovenous fistulas, and pseudoaneurysms is very low.

4. Higher patient comfort: Using a 1ml syringe needle for local anesthesia, the pain is greatly reduced. The patient does not need to abduct the arm during the operation. The bandage does not affect the movement of the hand and wrist when compressed. The bandage can be removed 2-4 hours after the operation. , greatly improving the patient`s comfort during and after surgery. There is no wrist compression, and patients rarely develop bruising on their palms. Relieving the compression early makes care easier, reducing the difficulty and workload of care.

5. Long-term patient tolerance: The patient`s hands are more comfortable, allowing patients to tolerate long-term surgery.

This small change in the surgical site is not only a technological advancement, but also an update of medical concepts, making the surgery safer and the patient more comfortable. The team of the Second Department of Cardiology of Shimen County People's Hospital always adheres to the patient-centered approach, constantly absorbs new ideas and concepts, explores and tries new technologies, and strives to improve the true expression of medical standards. The team of the second department of cardiology will develop more cutting-edge medical technologies through unremitting learning and innovation to benefit more patients with "cardiac" diseases.

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