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TR Band following Radial Angiogram

jobyjoz jobyjoz (New) New

Is anyone femiliar with TR Bands? Does any one have a competency pack drown up for care of patients following an invasive cardiac procedure via radial? thanks

dianah, ADN

Specializes in Cath Lab/Radiology. Has 45 years experience.

Jobyjoz, we've done a few radials but unfortunately I was on my Stress Lab rotation when they were done, so wasn't in the room = I have no direct experience with any radial hemostasis product. I did inquire at work of the Cardiologist who does these, re: the TR Band. He's never heard of that brand, but I did a search and found the TR Band, manufactured by Terumo.

We do use a "D-stat Radial" device for hemostasis post-radial cath. http://www.vascularsolutions.com/clinical/dstatradial.php, which seems to be the same principle (compression band), with the added d-stat thrombin dressing applied directly to the skin.

Re: competency pack, I'll have to check, as one of us nurses was supposed to have written up a P & P for the radial cases (hoping he's developed a competency as well). Just write up the important points that the nurse needs to know/demonstrate and how he/she attains those, and how the nurse is to show that he/she is competent in those tasks/knowledge base.

Good luck! --- Diana


Specializes in Cardiology / CCU.

We have recently started using TR Bands post diagnostic angiograms and PCI's and find we have much less complications than femoral stabs, plus in the long run it is more comfortable for patients. However, we do find that we are a bit ambitious taking the band off in the 2 hours that the literature recommends, even in diagnostics.

we are using TR bands now in our unit and i find it very easy to handle because of the lesser infection than the one in femoral...its like a small femstop..very easy to manipulae but u have to be very careful when removing air on it or else it will bleed too much..u can apply air as far as 18 mls only and remove that air with intervals..always check the radial pulse though..


Specializes in rehab-med/surg-ICU-ER-cath lab.

Are you saying you're performing frequent radial cases? If so why radial over femoral? Our lab does 25 -30 cases a day and we do 99.9% femoral sticks closed very sucessfully with Angeoseals. About 15% of the MD's have not inserviced for the Angeoseals and still hold the groin with a D-Stat usually followed by a wedge dressing. We do not have a lot of post bleeds but when we do it's the non-Angeoseals that are the ones that start bleeding before they leave the lab.

We have done quite a few radials but I have never heard of a TR band. How

does it work? We just use a syvek with a radial pressure band. You just

tighten manually around the wrist. We can usually close a diagnostic within

20 minutes.

We used to do alot more radials but the docs didn't love them. Sometimes

we ended up accessing the groin also because we couldn't get to the artery

well enough to do PTCA.

We angioseal groins most of the time. We haven't really had much trouble

with it. In fact we love it.

we started using TR band due to the fact of numerous hematoma + pseudoanurysm that we encountered post angio...and also infection wise...we just followed whats in the literature and also we had an inservice about that...i think i prefer this TR band..its very handy just monitor ur pulses...esp..radial... just don't exceed putting air greater than 18 mls....and be very careful because its radial pressure...

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