Article Author & Title
# Date
1 Baloch et. al, Comparison of TR Band
2018 Removal protocols in
reducing occurrence of radial
artery occlusion among
patients undergoing left heart
catheterization: a randomized
control trial
2 Deuling et. A randomized controlled
al, 2016 study of standard versus
accelerated deflation of the
Terumo radial band
hemostasis device after
transradial diagnostic cardiac
catheterization
3 Pancholy, Impact of two different
2009 hemostatic devices on radial
artery outcomes after
transradial catheterization
4 Trabattoni A new kaolin-based
et. al, 2012 hemostatic bandage use after
coronary diagnostic and
interventional procedures
5 Politi et. al, Randomized clinical trial on
2010 short time compression with
kaolin-filled pad: a new
strategy to avoid early
bleeding and subacute radial
occlusion after percutaneous
coronary intervention
Study Sample Study findings Study Limitations Evidence
Design size Level
Randomized 100 TR band deflation and removal practice Done in a single center II
control trial patients that allows 3ml of air to be deflated with and underpowered.
interval of 15 mins after 2 hours of the
procedure is non-inferior to Cohen and
Alfonso’s protocol in the incidence of
RAO after diagnostic, Left Heart
Catheterization.
Randomized 173 There was no increase in bleeding in the Underpowered study. II
control trial patients accelerated pressure reduction of the TR
band after diagnostic cardiac
catheterization.
Two group 500 Showed a significant reduction in radial None listed III
non- patients artery occlusion with hemostasis using the
randomized TR band compared to the HemoBand
control trial without compromising hemostatic efficacy.
11.2% early radial artery occlusion at 24
hours and 7.2% developed chronic
occlusions at 30 days
Two group 40 QuikClot interventional bandage obtained Small study. III
non- patients prompt hemostasis and allowed for an
randomized early ambulation without clinical
control trial complications.
Randomized 120 Short compression time and early sheath No published studies II
control trial patients removal with QuikClot Interventional can reporting use of
reduce the rate of radial artery occlusion QuikClot interventional
after diagnostic or interventional hemostatic bandage
procedures. after percutaneous
coronary or peripheral
procedure to compare
to.
Article Author & Title
# Date
6 Roberts et. Comparison of Hemostasis
al, 2017 Times with a Kaolin-Based
Hemostatic Pad (QuikClot
Radial) vs Mechanical
Compression (TR Band)
Following Transradial
Access: A Pilot Prospective
Study
7 Rashid et. al, Radial artery occlusion after
2016 transradial interventions: a
systematic review and meta-
analysis
8 Kwan et. al, Comparison of TR Band and
2016 VasoStat Hemostasis Devices
following Transpedal
Catheterization for Lowe
Extremity Revascularization
for Peripheral Artery Disease
9 Dai et. al, A comparison of 3 devices
2015 for radial artery hemostasis
after transradial coronary
intervention
Study Sample Study findings Evidence
Design size Level
Randomized 30 Mean compression time for hemostasis Small study. II
control trial patients with the TR Band was 149.4 minutes
compared to 30.7 minutes and 60.9
minutes for the 30-min and 60-min
QuikClot groups. No radial artery
occlusion occurred.
Systematic 66 studies Radial artery occlusion is a common Many of the studies I
review complication of radial access. Maintenance were included were
of radial patency should be an integral part single-arm studies.
of all procedures using the radial approach. They included
High-dose heparin along with shorter conference abstracts to
compression times and patent hemostasis is reduce publication bias
recommend in reducing occlusion. and they found
sufficient studies with
similar interventions for
statistical pooling, may
of the included studies
were underpowered.
Cohort 314 Both the TR Band and the VasoStat were None listed. IV
study patients effective in achieving hemostasis following
transpedal catheterization with low rates of
complications.
Randomized 600 The application of the chitosan-based pad None listed. II
controlled patients showed better hemostatic efficacy and a
trial lower incidence of radial artery occlusion
after transradial coronary intervention
compared with the compression device.
Article Author & Title
# Date
10 Seto et. al, Radial Hemostasis is
2018 facilitated with a potassium
ferrate hemostatic patch: the
Statseal with TR band
assessment trial (STAT)
11 Haq et. al, Accelerated patent
2018 hemostasis using a
procoagulant disk; a protocol
designed to minimize the risk
of radial artery occlusion
following cardiac
catheterization
12 Voon et. al, Randomized study comparing
2011 incidence of radial artery
occlusion post-percutaneous
coronary intervention
between two conventional
compression devices using a
novel air-inflation technique
13 Fernandez, Effects of methods used to
RS.; Lee, A. achieve hemostasis on radial
2017 artery occlusion following
percutaneous coronary
procedures: a systematic
review
14 Panetta, C.; Novel method for radial
Rao, S. 2018 sheath removal using manual
pressure over hemostatic pad
combined with ulnar
compression
Study Sample Study findings Study Limitations Evidence
Design size Level
Randomized 180 The StatSeal facilitated early deflation of None listed. II
control trial patients the TR band with a nonsignificant increase
in forearm hematomas.
Randomized 389 A reduction in radial artery occlusion time None listed. II
control trial patients when using the Helix compression device
in combination with a StatSeal and an
accelerated hemostasis protocol.
Randomized 100 Safeguard and TR band did not High prevalence of II
control trial patients demonstrate significant between group missing data due to
differences in short-term radial artery procedures performed
occlusion incidences. out-of-hours and type I
error may contribute to
the results.
Systematic 7 trials A statistically significant reduction in the The evidence obtained I
Review incidence of RAO was observed among is not concreate and
patients who received a Chitosen dressing development of practice
compared to those who received the TR guidelines need
band. No statistically significant difference stronger evidence to
in the incidence of RAO between TR band become available.
and elastic bandage.
Randomized 59 Manual pressure of SoftSeal-STF None listed. II
control trial patients hemostatic pad combined with ulnar
compression is a potential alternative to
current practice with an inflatable pressure
band.