title: The use of the D-STAT dry bandage for the control of vascular access site bleeding: a multicenter experience in 376 patients.
abstract: Multiple topical hemostats have been approved for control of surface bleeding from vascular access sites. The majority of these devices, however, have few clinical data supporting their use. This study was conducted to assess the efficacy and safety of the new commercially available D-Stat Dry hemostatic bandage compared to standard care manual compression. A prospective, randomized, multicenter trial was conducted in patients undergoing diagnostic cardiac catheterization or peripheral angiography utilizing femoral artery access. Subjects were randomized to either the D-Stat Dry bandage as an adjunct to manual compression or manual compression alone. Primary end points were time-to-hemostasis (TTH) and major complications. Secondary end points included minor complications, patient satisfaction, time-to-ambulation (TTA), and time-to-discharge (TTD). Three hundred seventy-six subjects (189 control, 187 investigational) with similar baseline characteristics participated in the study. The mean age was 61.5 years, with a male predominance of 58%. TTH was significantly lower in the investigational group (7.8 vs. 13.0 min; p = 0.001). No difference in major complication rates was observed between the groups. The mean TTA (investigational, 392 min, vs. control, 415 min; p = 0.023) and patient satisfaction significantly favored the investigational group (p = 0.025). No difference in TTD or the rate of minor complications was observed. This study demonstrates that in the aforementioned population, the D-Stat Dry bandage is safe and effective in reducing both TTH and TTA and results in improved patient satisfaction.
authors.affiliation: Charleston Cardiovascular Consultants, Charleston Area Medical Center, 3211 MacCorkle Avenue SE, Charleston, WV 25304, USA.
authors.forename: Omar K
authors.initials: OK
authors.lastname: Hallak
authors.forename: Roberto J
authors.initials: RJ
authors.lastname: Cubeddu
authors.forename: Rose A
authors.initials: RA
authors.lastname: Griffith
authors.forename: Bernardo J
authors.initials: BJ
authors.lastname: Reyes
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods*; D001458:Bandages; D006328:Cardiac Catheterization / Q000379:methods*; D004434:Early Ambulation; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods*; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011312:Pressure; D011446:Prospective Studies; D011677:Punctures
chemical_list: D006490:Hemostatics