{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:03:53Z","timestamp":1792713833873,"version":"4.5.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2017,2,2]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Radial artery occlusion is a known complication following transradial cardiac catheterization. A shorter duration of postprocedural radial clamp time may reduce radial artery occlusion (\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              ) but might be associated with incomplete hemostasis.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              In total, 568 patients undergoing transradial diagnostic cardiac catheterization were randomly assigned to either 20\u00a0minutes (ultrashort) or 60\u00a0minutes (short) hemostatic compression time using patent hemostasis. Subsequently, clamp pressure was reduced gradually over 20\u00a0minutes. Access site hemostasis and\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              were assessed after clamp removal. Repeated assessment of\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              was determined at 1\u00a0week in 210 (37%) patients. Mean age was 64\u00b111\u00a0years, and 30% were female. Percutaneous coronary intervention was performed in 161 patients.\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              immediately after clamp removal was documented in 14 (4.9%) and 8 (2.8%) patients in the 20\u2010 and 60\u2010minute clamp application groups, respectively (\n              <jats:italic>P<\/jats:italic>\n              =0.19). The incidence of grade 1 hematoma was higher in the 20\u2010minute group (6.7% versus 2.5%,\n              <jats:italic>P<\/jats:italic>\n              =0.015).\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              at 1 week after the procedure was 2.9% and 0.9% in the 20\u2010 and 60\u2010minute groups, respectively (\n              <jats:italic>P<\/jats:italic>\n              =0.36). Requirement for clamp retightening (36% versus 16%,\n              <jats:italic>P<\/jats:italic>\n              =0.01) was higher among patients who had\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              . Need for clamp retightening was the only independent predictor of\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              (\n              <jats:italic>P<\/jats:italic>\n              =0.04).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Ultrashort radial clamp application of 20\u00a0minutes is not preferable to a short duration of 60\u00a0minutes. The 60\u2010minute clamp duration is safe and provides good access site hemostasis with low\n              <jats:styled-content style=\"fixed-case\">RAO<\/jats:styled-content>\n              rates.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Clinical Trial Registration<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              <jats:styled-content style=\"fixed-case\">URL<\/jats:styled-content>\n              :\n              <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.clinicaltrials.gov\">http:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n              . Unique identifier:\n              <jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>\n              02269722.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.116.005029","type":"journal-article","created":{"date-parts":[[2017,2,4]],"date-time":"2017-02-04T01:10:44Z","timestamp":1486170644000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":33,"title":["Randomized Trial of Compression Duration After Transradial Cardiac Catheterization and Intervention"],"prefix":"10.1161","volume":"6","author":[{"given":"Shahar","family":"Lavi","sequence":"first","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asim","family":"Cheema","sequence":"additional","affiliation":[{"name":"St. Michael's Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Yadegari","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeev","family":"Israeli","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaniv","family":"Levi","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Wall","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mistre","family":"Alemayehu","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasir","family":"Parviz","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogdan\u2010Dorian","family":"Murariu","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry","family":"McPherson","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaffer","family":"Syed","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Bagur","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.08.023"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60292-6"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24696"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.112.965269"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-015-0489-6"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.08.011"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.03.009"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002686"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22963"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV11I7A153"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs169"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2003.10.038"},{"key":"e_1_3_3_14_2","first-page":"163","article-title":"Ultrasound guidance for vascular access in patients undergoing coronary angiography via the transradial approach","volume":"27","author":"Camuglia AC","year":"2015","unstructured":"Camuglia AC, Majed M, Preston SD, Lavi S. 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Incidence and predictors of radial artery occlusion after transradial coronary angioplasty: Doppler\u2010guided follow\u2010up study. J Invasive Cardiol. 2015;27:106\u2013112.","journal-title":"J Invasive Cardiol"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.07.013"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV11I7A148"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.116.005029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T10:53:45Z","timestamp":1715597625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.116.005029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,2]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2,2]]}},"alternative-id":["10.1161\/JAHA.116.005029"],"URL":"https:\/\/doi.org\/10.1161\/jaha.116.005029","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,2]]},"assertion":[{"value":"2016-11-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-02-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e005029"}}