Safety of Early Decompression in Patients Undergoing Coronary Intervention via Distal Radial Artery

Objective To investigate the safety of different time decompression in patients undergoing coronary intervention via distal radial artery. Methods From December 2022 to December 2023, a total of 139 patients undergoing coronary intervention through distal radial artery in the department of cardiovascular medicine of the First Affiliated Hospital of Nanjing Medical University were selected and divided into three groups by the random number table method. Group A, 47 cases, underwent first decompression 30 minutes after operation. Group B, 47 cases, underwent initial decompression 1 h after operation. Group C, 45 cases, underwent initial decompression 2 h after operation. Postoperative limb pain score, comfort score and palm-diameter swelling rate immediately after operation, 30 min, 1 h, 2 h and 4 h, and postoperative puncture bleeding were compared among the three groups. Results Immediately after operation, the pain score, comfort score and the swelling rate of the circumference of the palm among the three groups showed no statistical significance (P > 0.05) . The limb pain score of group A at 30 min, 1 h, 2 h and 4 h after operation was lower than that in group B and group C (P < 0.05), and the comfort score was higher than that in group B and group C (P < 0.05) . The swelling rate of the palms of group A at 1 h, 2 h and 4 h after operation was lower than that in group B and group C (P < 0.05) . There was no significant difference in postoperative bleeding among the three groups (P > 0.05) . Conclusion The first decompression within 30 minutes after operation is safe and effective for patients undergoing coronary intervention through distal radial artery, which can significantly relieve pain, swelling discomfort and improve comfort, and is worthy of promotion in clinical work.