# Druk-gestuurde pneumatische compressie vermindert radiale arterieocclusie na transradiale coronaire ingrepen

*geplaatst 2026-11-05 · Preventie · Scandinavian cardiovascular journal : SCJ · doi 10.1080/14017431.2026.2753379 · https://hartvaat.nl/2027/12/01/druk-gestuurde-pneumatische-compressie-vermindert-radiale-arterieocclusie-na-tra/*

Een retrospectieve cohortstudie bij 514 patiënten onderzocht of een druk-gestuurde pneumatische compressiebal na transradiale coronaire ingrepen het risico op radiale arterieocclusie (RAO) verlaagt ten opzichte van conventionele schroefcompressie. Na 24 uur trad RAO op bij 2,8% versus 7,7% (p=0,012), met een aangepaste odds ratio van 0,36. De pneumatische methode leidde tevens tot minder pijn, minder bloedingen en een hogere primaire hemostase-succesgraad. Voor interventiecardiologen biedt dit een veilig alternatief om toegangscomplicaties te beperken zonder extra complicatierisico.

## English: Pressure-guided pneumatic radial compression and radial artery occlusion after transradial coronary procedures: a retrospective historical cohort study.

A single-center retrospective cohort study of 514 patients evaluated whether pressure-guided pneumatic radial compression reduces radial artery occlusion (RAO) compared with conventional screw-type compression after transradial coronary procedures. RAO at 24 hours was significantly lower with pneumatic compression (2.8% vs 7.7%; adjusted OR 0.36), accompanied by reduced pain, fewer local complications, and higher hemostatic success. These findings suggest that quantitative pressure monitoring during post-procedural compression may improve access-site outcomes in routine interventional practice.

## Abstract (original, from the publication)

OBJECTIVES: To evaluate a pressure-measured pneumatic radial compression protocol and its association with radial artery occlusion (RAO) after transradial coronary procedures. DESIGN: This single-center retrospective historical cohort included 514 consecutive patients treated between February and December 2025. The control group received conventional screw-type compression with clinically guided staged adjustment (n = 260), whereas the observation group received pneumatic compression with quantitative pressure measurement and individualized staged adjustment (n = 254). The primary outcome was RAO at 24 h; RAO at 7 days and other clinical outcomes were secondary outcomes. RESULTS: The observation group had lower observed RAO rates than the control group at 24 h [2.8% (7/254) vs. 7.7% (20/260), p = 0.012] and 7 days [2.0% (5/254) vs. 5.4% (14/260), p = 0.040]. After Firth penalized logistic regression, the protocol remained associated with lower odds of RAO at 24 h (adjusted OR = 0.358, 95% CI: 0.143-0.809; p = 0.013). The observation group also had lower pain scores at 6 and 24 h (both p < 0.001), higher digital SpO2 values at 2, 4, and 24 h (all p < 0.001), higher primary hemostatic success [97.2% vs. 93.5%, p = 0.042], and fewer patients with puncture-site oozing [2.8% vs. 6.9%, p = 0.028] or at least one local complication [11.4% vs. 28.1%, p < 0.001]. CONCLUSIONS: Pressure-guided pneumatic compression was associated with lower observed RAO rates and more favorable hemostatic and local outcomes than conventional screw-type compression. STUDY REGISTRATION: This study was a retrospective cohort study and did not involve a prospective intervention; therefore, clinical trial registration was not required.

Auteurs: Yuchan Hu, Chao Lv, Ting Zhou, Junlan Zhu, Chunyan Lu, Qun'er Lou

---
Bron: Scandinavian cardiovascular journal : SCJ, https://doi.org/10.1080/14017431.2026.2753379. Bijgewerkt 2026-10-30T01:48:07Z. Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.