A comparison of manual compression and closure device for hemostasis after transradial coronary procedures

Sefa Sural; Vedat Aslan

doi:10.38053/acmj.1957522

A comparison of manual compression and closure device for hemostasis after transradial coronary procedures

Abstract

Aims: Optimal hemostasis following transradial coronary procedures remains important for minimizing vascular complications. This study compared manual compression and closure device strategies for postprocedural radial hemostasis. Methods: A total of 111 patients undergoing transradial coronary procedures were retrospectively analyzed. Patients were divided according to the hemostasis technique: closure device (n=70) and manual compression (n=41). Clinical, procedural, and laboratory characteristics, hemostasis duration, and vascular complications, including radial artery occlusion (RAO), radial artery spasm (RAS), hematoma, and major bleeding, were evaluated. Adjusted bootstrap linear regression analysis was performed to assess the independent association between hemostasis method and hemostasis duration. Results: Baseline clinical, procedural, and laboratory characteristics were comparable between groups. Hemostasis duration was significantly longer in the closure device group than in the manual compression group [108.0 (82.0-164.8) vs. 15.0 (10.0-18.0) min, p<0.001]. Patent hemostasis was achieved in all patients. Rates of RAO (10.0% vs. 4.9%, p=0.481), RAS (8.6% vs. 9.8%, p=1.000), and hematoma (4.3% vs. 4.9%, p=1.000) were similar between groups. No major bleeding or cross-over events occurred. In the adjusted analysis, manual compression was associated with a shorter hemostasis duration (β=-104.18, 95% CI: -119.66 to -90.75). Conclusion: In patients undergoing transradial coronary procedures, manual compression was associated with substantially shorter hemostasis duration than closure device use, while maintaining comparable rates of RAO and other vascular complications. Manual compression may represent a safe and effective alternative hemostasis strategy when patent hemostasis is maintained.

Keywords

Ethical Statement

The study was approved by the Mersin University Ethics Committee (Date: 2026, decision number: 293).

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Details

Primary Language

English

Subjects

Cardiology

Journal Section

Research Article

Authors

Sefa Sural ^*
0009-0007-4628-6672
Türkiye

Vedat Aslan
0000-0002-5415-5812
Türkiye

Publication Date

October 25, 2026

Submission Date

May 23, 2026

Acceptance Date

August 30, 2026

Published in Issue

Year 2026 Volume: 8 Number: 6

DOI

https://doi.org/10.38053/acmj.1957522

IZ

https://izlik.org/JA84ST95DB

Cite

RIS / Bibtex

APA

Sural, S., & Aslan, V. (2026). A comparison of manual compression and closure device for hemostasis after transradial coronary procedures. Anatolian Current Medical Journal, 8(6), 1208-1215. https://doi.org/10.38053/acmj.1957522

AMA

1.Sural S, Aslan V. A comparison of manual compression and closure device for hemostasis after transradial coronary procedures. Anatolian Curr Med J / ACMJ / acmj. 2026;8(6):1208-1215. doi:10.38053/acmj.1957522

Chicago

Sural, Sefa, and Vedat Aslan. 2026. “A Comparison of Manual Compression and Closure Device for Hemostasis After Transradial Coronary Procedures”. Anatolian Current Medical Journal 8 (6): 1208-15. https://doi.org/10.38053/acmj.1957522.

EndNote

Sural S, Aslan V (October 25, 2026) A comparison of manual compression and closure device for hemostasis after transradial coronary procedures. Anatolian Current Medical Journal 8 6 1208–1215.

IEEE

[1]S. Sural and V. Aslan, “A comparison of manual compression and closure device for hemostasis after transradial coronary procedures”, Anatolian Curr Med J / ACMJ / acmj, vol. 8, no. 6, pp. 1208–1215, Oct. 2026, doi: 10.38053/acmj.1957522.

ISNAD

Sural, Sefa - Aslan, Vedat. “A Comparison of Manual Compression and Closure Device for Hemostasis After Transradial Coronary Procedures”. Anatolian Current Medical Journal 8/6 (October 25, 2026): 1208-1215. https://doi.org/10.38053/acmj.1957522.

JAMA

1.Sural S, Aslan V. A comparison of manual compression and closure device for hemostasis after transradial coronary procedures. Anatolian Curr Med J / ACMJ / acmj. 2026;8:1208–1215.

MLA

Sural, Sefa, and Vedat Aslan. “A Comparison of Manual Compression and Closure Device for Hemostasis After Transradial Coronary Procedures”. Anatolian Current Medical Journal, vol. 8, no. 6, Oct. 2026, pp. 1208-15, doi:10.38053/acmj.1957522.

Vancouver

1.Sefa Sural, Vedat Aslan. A comparison of manual compression and closure device for hemostasis after transradial coronary procedures. Anatolian Curr Med J / ACMJ / acmj. 2026 Oct. 25;8(6):1208-15. doi:10.38053/acmj.1957522