Effects of Sandbag-Free Follow-up After Manual Compression in Patients Who Underwent Transfemoral Access for Percutaneous Intervention.

Ahmet Soylu, Ahmet Taha Şahin, Hasan Kan, Hasan Sarı, Sefa Tatar
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Abstract

Objective: Femoral access site complications (ASC) are frequent yet significant conditions associated with percutaneous intervention procedures that affect patient-physician comfort. In this study, we compared ASC rates between patients who received compression with a sandbag, the standard practice in many clinics, and patients monitored solely with bedrest without sandbag compression.

Methods: This study included patients undergoing any transfemoral percutaneous intervention (mostly coronary interventions) between April 2019 and May 2023 at our clinic. Patients were classified into two groups: those monitored without a sandbag (n = 160) and those with a sandbag (n = 158). ASC rates (ecchymosis, pseudoaneurysm, hematoma, bleeding) were compared between the two groups.

Results: No differences were observed between the two groups in gender, age, sheath size, and bed rest times. Complications were observed in 16.9% (n = 27) of patients without sandbags and 25.3% (n = 40) of patients with sandbags. The most common complication was ecchymosis, seen in 10.6% (n = 17) of the no-sandbag group and 13.9% (n = 22) of the sandbag group.

Conclusion: Following manual compression after femoral sheath removal, patients receiving bedrest without sandbag use are less likely to develop ASC. Additionally, dismissing sandbag use leads to a significant increase in patient comfort.

经股动脉入路经皮介入治疗患者人工按压后无沙袋随访的效果。
目的:股骨入路部位并发症(ASC)是经皮介入手术中经常出现的严重并发症,会影响患者和医生的舒适度。在这项研究中,我们比较了接受沙袋压迫(许多诊所的标准做法)的患者与仅卧床监测而不接受沙袋压迫的患者之间的 ASC 发生率:本研究纳入了 2019 年 4 月至 2023 年 5 月期间在本诊所接受任何经股动脉经皮介入治疗(主要是冠状动脉介入治疗)的患者。患者分为两组:无沙袋监测组(n = 160)和有沙袋监测组(n = 158)。比较两组患者的 ASC 发生率(瘀斑、假性动脉瘤、血肿、出血):结果:两组患者在性别、年龄、鞘大小和卧床时间上没有差异。在未使用沙袋的患者中,16.9%(n = 27)的患者出现并发症;在使用沙袋的患者中,25.3%(n = 40)的患者出现并发症。最常见的并发症是瘀斑,无沙袋组为10.6%(n = 17),有沙袋组为13.9%(n = 22):结论:切除股骨鞘后进行人工压迫,卧床休息而不使用沙袋的患者发生 ASC 的几率较低。此外,不使用沙袋可显著提高患者的舒适度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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