Study of mechanical versus manual/mechanical compression following various interventional cardiology procedures.
Knowledge and technology for cardiovascular disease are growing at a rapid rate. Interventional cardiology offers patients several options of therapy, including percutaneous transluminal coronary angioplasty, directional coronary atherectomy, and percutaneous transluminal coronary rotoblator angioplasty procedures. Patients with these procedures require femoral intra-arterial sheath insertion and postprocedure management of these sheaths. The best practice for sheath removal is a controversial issue. This article describes a study conducted at Presbyterian Hospital in Charlotte, North Carolina, comparing the use of manual/mechanical versus mechanical compression technique for sheath removal. Subjects included patients who had one of the previous procedures performed. Subjects were randomly assigned to one of two study groups: manual/ mechanical or mechanical compression. Variables such as size of sheath, anticoagulants, antiplatelets, and flat time after sheath removal were examined. The outcome measure reported was the development of a groin complication. Results indicated no significant difference in groin complication. As a result, practice at Presbyterian Hospital changed to mechanical compression for removing sheaths.
Rudisill
P T
PT
Belk Heart Center, Presbyterian Hospital, Charlotte, North Carolina, USA.
Williams
L B
LB
Craig
S
S
Schopp
P
P
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods / Q000451:nursing; D002408:Catheters, Indwelling; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D011312:Pressure; D016896:Treatment Outcome