title: Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage.
abstract: OBJECTIVE
  Our aim was to evaluate the safety and effectiveness of the IRIS® bandage (Nephrokit®) on post-puncture bleeding compared to conventional manual compression.
  
  
  METHODS
  Sixty-four patients, hemodialyzed with an arteriovenous fistula, were enrolled in a 3-week prospective study. Conventional manual compression was used during the first week, the IRIS® bandage during the second week and conventional manual compression again during the third week. The outcomes analyzed were the persistence or absence of bleeding 3 minutes post-puncture with IRIS® device compared to conventional manual compression. The safety of the IRIS® bandage was also evaluated.
  
  
  RESULTS
  Rates of persistent bleeding 3 minutes post-puncture at arterial sites were 53±6% and 56±5%, respectively, during the first and third weeks (conventional compression) versus 18±5% during the second week (IRIS® bandage). Similarly, rates of persistent bleeding 3 minutes post-puncture at venous sites were 45±6% and 45±6%, respectively, with conventional compression versus 23±5% with the IRIS® bandage. The difference between the IRIS® device and conventional compression therefore proved highly statistically significant (p<0.05) for both arterial and venous puncture sites. No particular adverse events were observed with the IRIS® device.
  
  
  CONCLUSIONS
  Post-puncture bleeding time at arteriovenous fistula sites is significantly shortened by the IRIS® bandage in comparison with conventional manual compression.
authors.affiliation: 1Department of Nephrology and Dialysis, Centre de Néphrologie et de Dialyse Clinique de l'Estree, Stains - France.
authors.forename: Henri
authors.initials: H
authors.lastname: Boulanger
authors.forename: Salima
authors.initials: S
authors.lastname: Ahriz-Saksi
authors.forename: Martin
authors.initials: M
authors.lastname: Flamant
authors.forename: Philippe
authors.initials: P
authors.lastname: Vigeral
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001458:Bandages; D001760:Bleeding Time; D004867:Equipment Design; D005602:France; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D011446:Prospective Studies; D011677:Punctures; D006435:Renal Dialysis; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult