title: Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation.
abstract: BACKGROUND
  The incidence of hematoma formation following implantation of a cardiovascular implantable electronic device (CIED) is estimated to be 5% even if a pressure dressing is applied. It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, the adhesive tape for fixing pressure dressings can tear the skin. We developed a new compression tool for preventing hematomas and skin erosions.
  
  
  RESULTS
  We divided 46 consecutive patients receiving anticoagulation therapy who underwent CIED implantation into 2 groups (Group I: conventional pressure dressing, Group II: new compression tool). The pressure on the pocket was measured in both the supine and standing positions. The incidence of hematomas was compared between the 2 groups. The pressure differed between the supine and standing positions in Group I, but not in Group II (Group I: 14.8±7.1 mmHg vs. 11.3±9.9 mmHg, P=0.013; Group II: 13.5±2.8 mmHg vs. 13.5±3.5 mmHg, P=0.99). The incidence of hematomas and skin erosions was documented in 2 (8.7%) and 3 (13%) Group I patients, respectively. No complications were documented in Group II.
  
  
  CONCLUSIONS
  The new compression tool can provide adequate continuous pressure on the pocket, regardless of body position. This device may reduce the incidence of hematomas and skin erosions after CIED implantation.
authors.affiliation: Department of Cardiology, Himeji Cardiovascular Center.
authors.forename: Kunihiko
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authors.lastname: Okajima
authors.forename: Naoko
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authors.forename: Yoko
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authors.lastname: Yamamoto
authors.forename: Nahoko
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authors.lastname: Takahashi
authors.forename: Sonoko
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authors.forename: Shogo
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authors.lastname: Ohishi
authors.forename: Takahiro
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authors.lastname: Sawada
authors.forename: Yasue
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authors.lastname: Tsukishiro
authors.forename: Tetsuari
authors.initials: T
authors.lastname: Onishi
authors.forename: Seiichi
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Fumie
authors.initials: F
authors.lastname: Moriya
authors.forename: Hiromi
authors.initials: H
authors.lastname: Takai
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Yamada
authors.forename: Yasuyo
authors.initials: Y
authors.lastname: Taniguchi
authors.forename: Yoshinori
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authors.lastname: Yasaka
authors.forename: Hiroya
authors.initials: H
authors.lastname: Kawai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D058128:Compression Bandages; D017147:Defibrillators, Implantable; D005260:Female; D006406:Hematoma / Q000517:prevention & control*; D006801:Humans; D008297:Male; D012871:Skin Diseases / Q000517:prevention & control*