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Comparison of Vascular Complications after Arterial Sheath Removal using Manual Compression Method and ClampEase
Javad Kazemi Darafshani1, Seyyed Abbas Hosseini2, Sima Babaei3
1Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
The ClampEase device significantly reduces vascular complications after angiography compared to manual compression. This method offers a safer, faster, and more comfortable alternative for patients undergoing arterial sheath removal.
Area of Science:
- Cardiology
- Vascular Surgery
- Medical Devices
Background:
- Coronary artery disease diagnosis relies heavily on angiography.
- Angiography, while definitive, carries risks of vascular complications post-procedure.
- Arterial sheath removal is a critical step with potential for complications.
Purpose of the Study:
- To evaluate the incidence of vascular complications following arterial sheath removal.
- To compare the efficacy of the ClampEase device versus manual compression in preventing complications.
- To assess the impact on hemostasis time and patient outcomes.
Main Methods:
- A quasi-experimental clinical trial involving 91 patients undergoing angiography.
- Random assignment to either manual compression or ClampEase device groups.
- Monitoring of hemorrhage, hematomas, and ecchymosis for 24 hours post-sheath removal.
Main Results:
- The ClampEase device group exhibited fewer vascular complications than the manual compression group.
- Patients using the ClampEase device achieved a quicker return to homeostasis.
- Statistical analysis confirmed the superiority of the ClampEase device.
Conclusions:
- The ClampEase device presents a safer alternative to manual compression for arterial sheath removal.
- This method reduces vascular complications, potentially lowering hospital costs and length of stay.
- Faster hemostasis with ClampEase enhances patient comfort and acceptance.
Introduction:
Angiography stands as the paramount and definitive diagnostic method for coronary artery disease. However, akin to various other invasive procedures, it may carry a multitude of complications. This study sought to assess the incidence of vascular complications post-arterial sheath removal, comparing the use of a ClampEase device against manual compression.
Methods:
This quasi-experimental clinical trial involved patients undergoing angiography at the post-angiography ward in Isfahan, Iran. A total of 91 patients were selected through convenience sampling and randomly assigned to either the manual compression or ClampEase device groups. Monitoring common vascular complications like hemorrhage, hematomas, and ecchymosis occurred up to 24 hours post-arterial sheath removal. Data were collected using a digital scale model DM3, a transparent flexible ruler, and a questionnaire named 'vascular complications after angiography.' Analysis was performed using SPSS software version 13.
Results:
Statistical analysis revealed that, when compared to the manual method, compression with the ClampEase device led to fewer vascular complications in patients and a quicker return to homeostasis.
Conclusion:
The findings underscore that the ClampEase method is a safer alternative with fewer vascular complications than the manual compression method. This discovery has implications for reducing hospital costs and length of stay. The ClampEase device is associated with a swifter time to hemostasis, contributing to enhanced patient comfort and acceptance.
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