Scoping Review of Puncture Point Compression Management After Transradial Coronary Interven-tion
Objective To conduct a scoping review of studies on puncture point compression management after transradial coronary intervention,aiming to provide a reference for controlling postoperative bleeding,reducing the incidence of complications,alleviating discomforts in the operated limb and refining puncture site compression management.Methods Studies on puncture point compression management after transra-dial coronary intervention were retrieved in PubMed,Cochrane Library,Web of Science,CNKI,Wanfang Data and CBMdisc from February 2013 to February 2023.Results Finally,19 articles were included,includ-ing 4 systematic reviews,14 randomized controlled trials and 1 quasi-experimental study.Five devices for puncture point compression after transradial artery intervention were summarized.Balloon compressor was the most recommended option,followed by screw compressor.The first decompression time was recom-mended to be advanced to 1 h postoperatively to maximize patient comfort and minimize the impact on the operated limb.Conclusion The new compression method,using the recommended compressor,proves to be more effective than the traditional compression method for puncture point compression after transradial ar-tery intervention.It is advised to advance the first decompression time to 1 h from 4-6 h postoperatively.In future studies,personalized interventions may be explored grounded in theoretical principles to develop more scientific and reasonable approaches to manage puncture point compression.
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