Faktor yang Mempengaruhi Hemostasis PCI Transradial :  Systematic Literatur Review

abda ali; Muhammadong; Alsilnus Bakir; Nur Aleq

doi:10.54867/jkm.v12i2.252

Authors

abda ali
aliabda792@gmail.com
Universitas Strada Indonesia
Muhammadong Universitas STRADA Indonesia
Alsilnus Bakir Universitas STRADA Indonesia
Nur Aleq Universitas STRADA Indonesia

Keywords:

hemostasis, transradial PCI, complications, radial artery occlusion, TR Band

Abstract

Introduction: Hemostasis after transradial percutaneous coronary intervention (PCI) is crucial to prevent complications such as hematoma and radial artery occlusion (RAO). Although transradial access (TRA) is safer than the transfemoral approach, the factors influencing the success of hemostasis have not been fully defined.

Objective: To identify the factors affecting hemostasis success after transradial PCI. Methods: A Systematic Literature Review was conducted following PRISMA guidelines, with searches in PubMed, Scopus, and Google Scholar. Ten articles meeting the criteria were analyzed qualitatively. Results: Factors influencing hemostasis include patient characteristics (gender, age, BMI, comorbidities), procedural factors (sheath size, number of punctures, procedure duration), and hemostasis techniques (method and duration of compression). The use of TR Band with a patent hemostasis technique and shorter compression times reduces the risk of RAO. Conclusion: The success of hemostasis after transradial PCI is influenced by both clinical and technical factors. Evidence-based individualized strategies can reduce complications and improve patient outcomes.

References

Bertrand, O.F. et al. (2010) ‘Transradial approach for coronary angiography and interventions: Results of the first international Transradial practice survey’, JACC: Cardiovascular Interventions, 3(10), pp. 1022–1031. Available at: https://doi.org/10.1016/j.jcin.2010.07.013.

Chamberlain, J.J. et al. (2018) ‘Cardiovascular disease and risk management: Review of the American diabetes association standards of medical care in diabetes 2018’, Annals of Internal Medicine, 168(9), pp. 640–650. Available at: https://doi.org/10.7326/M18-0222.

Dangoisse, V. et al. (2017) ‘Usefulness of a Gentle and Short Hemostasis Using the Transradial Band Device after Transradial Access for Percutaneous Coronary Angiography and Interventions to Reduce the Radial Artery Occlusion Rate (from the Prospective and Randomized CRASOC I, II, an’, American Journal of Cardiology, 120(3), pp. 374–379. Available at: https://doi.org/10.1016/j.amjcard.2017.04.037.

Didagelos, M. et al. (2024) ‘Incidence and Prognostic Factors of Radial Artery Occlusion in Transradial Coronary Catheterization’, Journal of Clinical Medicine. mdpi.com. Available at: https://doi.org/10.3390/jcm13113276.

Dwivedi, S.K. et al. (2022) ‘Factors influencing radial artery occlusion after transradial coronary intervention in the Indian population’, Anatolian Journal of Cardiology. pmc.ncbi.nlm.nih.gov, pp. 105–111. Available at: https://doi.org/10.5152/AnatolJCardiol.2021.163.

Kahveci, A.S. et al. (2020) ‘Oxidative stress and mitochondrial abnormalities contribute to decreased endothelial nitric oxide synthase expression and renal disease progression in early experimental polycystic kidney disease’, International Journal of Molecular Sciences, 21(6), p. 1994. Available at: https://doi.org/10.3390/ijms21061994.

Khan, F.U. et al. (2025) ‘Predictors of Radial Artery Hematoma and Outcomes in Patients Undergoing Elective vs Emergency Angiography Angioplasty via Radial Artery Approach’, Indus Journal of … [Preprint]. Available at: http://induspublishers.com/IJBR/article/view/736.

Pacchioni, A. et al. (2021) ‘Predictors of patent and occlusive hemostasis after transradial coronary procedures’, Catheterization and Cardiovascular Interventions, 97(7), pp. 1369–1376. Available at: https://doi.org/10.1002/ccd.29066.

Pertama, E. (2016) Panduan praktik klinis (ppk) dan clinical pathway (cp) penyakit jantung dan pembuluh darah.

Piers, L.H., Vink, M.A. and Amoroso, G. (2016) ‘Transradial Approach in Primary Percutaneous Coronary Intervention: Lessons from a High-volume Centre’, Interventional Cardiology, 11(2), pp. 88–92. Available at: https://doi.org/10.15420/icr.2016:21:3.

Rahman, A. et al. (2024) ‘Relation of radial artery occlusion after trans-radial percutaneous coronary intervention with the duration of hemostatic compression’, International Journal of Research in Medical Sciences. researchgate.net, pp. 1457–1461. Available at: https://doi.org/10.18203/2320-6012.ijrms20241227.

Rao, S. V. et al. (2014) ‘Best practices for transradial angiography and intervention: A consensus statement from the society for cardiovascular angiography and intervention’s transradial working group’, Catheterization and Cardiovascular Interventions, 83(2), pp. 228–236. Available at: https://doi.org/10.1002/ccd.25209.

Rashid, M. et al. (2016) ‘Radial artery occlusion after transradial interventions: A systematic review and meta-analysis’, Journal of the American Heart Association, 5(1). Available at: https://doi.org/10.1161/JAHA.115.002686.

Riangwiwat, T. and Blankenship, J.C. (2021) ‘Vascular complications of transradial access for cardiac catheterization’, US Cardiology Review. pmc.ncbi.nlm.nih.gov. Available at: https://doi.org/10.15420/USC.2020.23.

Roh, J.W. et al. (2025) ‘Distal Radial Access and Women: Implications for Access Site Outcomes in Coronary Procedures’, Journal of the American Heart Association , 14(8). Available at: https://doi.org/10.1161/JAHA.124.036285.

Sadaka, M.A. et al. (2019) ‘Incidence and predictors of radial artery occlusion after transradial coronary catheterization’, Egyptian Heart Journal. recintervcardiol.org. Available at: https://doi.org/10.1186/s43044-019-0008-0.

Schlosser, J. et al. (2023) ‘Incidence and predictors of radial artery occlusion following transradial coronary angiography: the proRadial trial’, Clinical Research in Cardiology. Springer, pp. 1175–1185. Available at: https://doi.org/10.1007/s00392-022-02094-z.

Triandini, E. et al. (2019) ‘Metode Systematic Literature Review untuk Identifikasi Platform dan Metode Pengembangan Sistem Informasi di Indonesia’, Indonesian Journal of Information Systems, 1(2), p. 63. Available at: https://doi.org/10.24002/ijis.v1i2.1916.

Wang, Y. et al. (2025) ‘A predictive model discloses independent risk factors for vascular complications in elderly cerebrovascular accident patients after trans-radial access cerebral angiography’, American Journal of Translational Research, 17(4), pp. 2872–2880.