Early mobilization after diagnostic cardiac catheterization with the use of a hemostatic bandage containing thrombin.
The aim of the present study was to assess the efficacy and safety of a thrombin-containing bandage for local hemostasis after femoral sheath removal in patients undergoing diagnostic cardiac catheterization. Forty-one patients undergoing diagnostic coronary angiography using a 6-F femoral sheath were included. The sheath was removed immediately after the procedure using the bandage according to a prespecified protocol. Mean compression time was 7.3+/-1.7 min and mean time from sheath removal to mobilization was 132+/-34 min. None of the patients suffered recurrent bleeding or any in-hospital and 7-day vascular complications. We conclude that in patients undergoing femoral-access diagnostic cardiac catheterization, the use of a hemostatic bandage containing thrombin was associated with short time to hemostasis with the ability for early patient mobilization without vascular complications.
Elian
Dan
D
Interventional Cardiology Unit, The Heart Institute, Chaim Sheba Medical Center, Tel-Hashomer, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Guetta
Victor
V
Alcalai
Rony
R
Lotan
Chaim
C
Segev
Amit
A
D001458:Bandages / Q000009:adverse effects; D006328:Cardiac Catheterization; D004434:Early Ambulation; D006489:Hemostatic Techniques / Q000009:adverse effects; D006801:Humans; D013917:Thrombin / Q000008:administration & dosage* / Q000627:therapeutic use; D014945:Wound Healing / Q000502:physiology
D013917:Thrombin