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Effects of three groin compression methods on patient discomfort, distress, and vascular complications following a

Linda L Chlan1, Julie Sabo, Kay Savik

  • 1School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. chlan001@umn.edu

Nursing Research
|December 1, 2005
PubMed

Insights

Vascular complication rates after percutaneous coronary intervention (PCI) procedures did not differ significantly between Femostop, C-clamp, and manual compression methods. Vigilance is needed for patients with pre-existing vascular complications or those on antiplatelet medications.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Vascular complications (VCs) following percutaneous coronary intervention procedures (PCIPs) vary based on the hemostasis method used.
  • Effective hemostasis is crucial for minimizing post-procedural complications.

Purpose of the Study:

  • To compare the efficacy of Femostop, C-clamp, and manual compression in reducing patient discomfort and vascular complications after PCIP.
  • To identify the optimal compression method for femoral artery hemostasis.

Main Methods:

  • A three-group experimental study involving 306 patients undergoing PCIPs.
  • Random assignment to Femostop, C-clamp, or manual compression groups.
  • Assessment of patient-reported discomfort and VCs at multiple time points.

Main Results:

  • No significant differences in discomfort, distress, or VCs were observed among the three compression methods.
  • Pre-existing VCs before sheath removal were associated with increased oozing, hematoma, and ecchymosis.
  • Specific compression methods showed minor benefits based on hemostasis duration, and eptifibatide use influenced ecchymosis rates.

Conclusions:

  • Nurses should monitor patients with pre-existing VCs or those on antiplatelet medications closely.
  • Further research is required to identify patient-specific factors contributing to VCs after PCIP.
Abstract

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