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Participants achieved hemostasis with either the modified TR Band (n\u2009=\u200974) or PSD (n\u2009=\u200969). The primary endpoint was the incidence of radial artery occlusion (RAO) assessed by Doppler ultrasonography at 4\u00a0h, 24\u00a0h, and\u2009&gt;\u20091\u00a0week. Outcome assessors were blinded. Secondary endpoints included hemostatic performance and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No complete RAO occurred in either group (0\/143). Partial RAO (mural thrombus with preserved flow) peaked at 4\u00a0h (TR Band: 28.4% vs. PSD: 18.8%; risk difference 9.5%, 95% CI -4.3 to 23.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.181) and declined to 4.1% vs. 2.9% by final follow-up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.000), representing a spontaneous resolution rate of 85.3%. Generalized estimating equations showed no significant difference in overall incidence. The TR Band group had a numerically higher rate of delayed hemostasis (&gt;\u20094\u00a0h) compared with PSD (5.4% vs. 0.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.121). Complication rates (hematoma, pseudoaneurysm) did not differ significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The modified TR Band and PSD demonstrated comparable rates of partial radial artery occlusion and access-site complications following dTRA for TACE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00270-025-04337-8","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:10:59Z","timestamp":1769127059000},"page":"896-905","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparing Two Distal Radial Hemostatic Devices for Radial Artery Patency Post-TACE: A Randomized Trial"],"prefix":"10.1007","volume":"49","author":[{"given":"Cheng-Chun","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia-Min","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fen-Ni","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pao-Chia","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Chen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Lan","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen-I.","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1923-1170","authenticated-orcid":false,"given":"Kuan-Chun","family":"Hsueh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"issue":"1","key":"4337_CR1","doi-asserted-by":"publisher","first-page":"19","DOI":"10.17998\/jlc.2025.02.03","volume":"25","author":"H Shin","year":"2025","unstructured":"Shin H, Yu SJ. 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All collected data were de-identified. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Written informed consent was obtained from all individual participants (patients) included in this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"Consent for publication was obtained for every individual person\u2019s data included in the study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"During the preparation of this work, the authors used ChatGPT, Gemini, and Claude to enhance the language and readability of this manuscript. After using these tools, the authors reviewed and edited the content as needed and take full responsibility for the content of the published article.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declaration of Generative AI and AI-assisted Technologies in the Manuscript Preparation Process"}}]}}