Prospective active care combined with hydrogel dressing for the prevention of puncture site complications after transradial coronary intervention: A randomized controlled study

Abstract

We evaluated whether the application of prospective active care (PAC) combined with hydrogel dressing during postoperative rehabilitation improved the prevention of puncture site complications after transradial coronary intervention (TRCI). In vitro, the hydrogel dressing exhibited good biocompatibility and did not reduce fibroblast activity and exhibited antimicrobial activity against Staphylococcus aureus and Streptococcus pneumoniae. In a cohort of patients with coronary artery disease who underwent with TRCI, the subjects were prospectively randomized into control and PAC groups, in which the control group was provided conventional care and the PAC group was provided PAC combined with the application of hydrogel dressing. The groups were compared for the rates of puncture site complications, recovery of finger function, cardiac function, and satisfaction. PAC combined with hydrogel dressing effectively reduced the incidence of complications. Furthermore, PAC combined with hydrogel dressing promoted the blood supply to the extremity used for TRCI and the recovery of mobile and cardiac functions and improved patient satisfaction with care. Therefore, the use of PAC combined with hydrogel dressings has great potential in patient care after TRCI and should be promoted in the clinic.