title: A new kaolin-based hemostatic bandage use after coronary diagnostic and interventional procedures.
abstract: BACKGROUND
  Bleeding and vascular access site complications are an important cause of morbidity after percutaneous femoral procedures. Together with collagen-based and suture-based vascular closure devices, new hemostatic dressings have been developed to control heavy bleeding.
  
  
  OBJECTIVE
  To evaluate safety and efficacy results of the first clinical QuikClot Interventional Hemostatic Bandage use for femoral artery closure after diagnostic or interventional procedures.
  
  
  METHODS
  The first European safety study was performed at the Centro Cardiologico Monzino in Milan, Italy, on January 2010. Forty consecutive patients (75% male, mean age 68 ± 11years) undergoing diagnostic angiography (62%) or PCI (38%) by femoral approach with a 6- (90%) or 7-Fr (10%) size introducer, received arterial sheath removal with the QuikClot Interventional gauze use. The mean ACT value at hemostasis time was 138 ± 24s (range 95-186s). Hemostasis was achieved in a mean time of 4.9 ± 0.5 min. Only one hemostasis failure occurred requiring prolonged mechanical compression. Neither major bleeding, re-bleeding nor hematoma occurred after early (4h after procedure) ambulation.
  
  
  CONCLUSIONS
  QuikClot Interventional Bandage obtained prompt hemostasis and allowed for an early ambulation without clinical complications.
authors.affiliation: Department of Cardiovascular Sciences, Centro Cardiologico Monzino, IRCCS, University of Milan, Milan, Italy. daniela.trabattoni@ccfm.it
authors.forename: Daniela
authors.initials: D
authors.lastname: Trabattoni
authors.forename: Pamela
authors.initials: P
authors.lastname: Gatto
authors.forename: Antonio L
authors.initials: AL
authors.lastname: Bartorelli
mesh_terms: D000368:Aged; D001458:Bandages; D017023:Coronary Angiography / Q000009:adverse effects* / Q000379:methods; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006470:Hemorrhage / Q000517:prevention & control; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D007616:Kaolin / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged
chemical_list: D006490:Hemostatics; D007616:Kaolin