A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression
Objective: To compare the efficiency and safety of femoral artery hemostasis after coronary angiography (CAG) between manual compression and mechanical compression. Material and Methods: A retrospective comparative study of 937 patients who had arterial sheath off after successful CAG conducted in N...
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| Format: | Article |
| Language: | English |
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Prince of Songkla University
2011-04-01
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| Series: | Journal of Health Science and Medical Research (JHSMR) |
| Subjects: | |
| Online Access: | https://www.jhsmr.org/index.php/jhsmr/article/view/309 |
| _version_ | 1818108875249811456 |
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| author | Budsaya Dandecha Chantana Chalernsin |
| author_facet | Budsaya Dandecha Chantana Chalernsin |
| author_sort | Budsaya Dandecha |
| collection | DOAJ |
| description | Objective: To compare the efficiency and safety of femoral artery hemostasis after coronary angiography (CAG) between manual compression and mechanical compression.
Material and Methods: A retrospective comparative study of 937 patients who had arterial sheath off after successful CAG conducted in Naradhiwas Rajanagarindra Heart Center, Songklanagarind Hospital. Data collected included clinical characteristics, method for hemostasis and vascular complications. Results were presented as mean, standard deviation and differences in efficiency and safety were compared using t-test or chi-square test where appropriate.
Results: The mechanical compression group was significant used in younger (58.9±11.3 and 61.9±10.6 yrs), higher weight (64.4±12.9 and 60.5±12.5kg), male patient (69.5% and 62.0%), higher hematocrit (38.6±4.9 and 37.5±5.1%) and higher heparin dose (1,757.9±407.3 and 1,362.1±479.9 unit). Blood pressure, platelet count and sheath size were similar in the two groups. Duration of compression was significant longer in mechanical compression (26.3±5.9 and 18.2±8.1 min). Uneventful vascular complication occurred in 12.4% in mechanical compression group and 1.3% in manual compression group (p<0.000). There was no patient dead.
Conclusion: The efficiency and safety of hemostasis after CAG in manual compression were better than mechanical compression. Factor related to vascular complication was the mechanical compression method. |
| first_indexed | 2024-12-11T02:22:18Z |
| format | Article |
| id | doaj.art-a3ad069ba9734a46807a2c75602979c3 |
| institution | Directory Open Access Journal |
| issn | 2586-9981 2630-0559 |
| language | English |
| last_indexed | 2024-12-11T02:22:18Z |
| publishDate | 2011-04-01 |
| publisher | Prince of Songkla University |
| record_format | Article |
| series | Journal of Health Science and Medical Research (JHSMR) |
| spelling | doaj.art-a3ad069ba9734a46807a2c75602979c32022-12-22T01:24:02ZengPrince of Songkla UniversityJournal of Health Science and Medical Research (JHSMR)2586-99812630-05592011-04-012925156323A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical CompressionBudsaya Dandecha0Chantana Chalernsin1Naradhiwas Rajanagarindra Heart Center, Songklanagarind Hospital, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Naradhiwas Rajanagarindra Heart Center, Songklanagarind Hospital, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,Objective: To compare the efficiency and safety of femoral artery hemostasis after coronary angiography (CAG) between manual compression and mechanical compression. Material and Methods: A retrospective comparative study of 937 patients who had arterial sheath off after successful CAG conducted in Naradhiwas Rajanagarindra Heart Center, Songklanagarind Hospital. Data collected included clinical characteristics, method for hemostasis and vascular complications. Results were presented as mean, standard deviation and differences in efficiency and safety were compared using t-test or chi-square test where appropriate. Results: The mechanical compression group was significant used in younger (58.9±11.3 and 61.9±10.6 yrs), higher weight (64.4±12.9 and 60.5±12.5kg), male patient (69.5% and 62.0%), higher hematocrit (38.6±4.9 and 37.5±5.1%) and higher heparin dose (1,757.9±407.3 and 1,362.1±479.9 unit). Blood pressure, platelet count and sheath size were similar in the two groups. Duration of compression was significant longer in mechanical compression (26.3±5.9 and 18.2±8.1 min). Uneventful vascular complication occurred in 12.4% in mechanical compression group and 1.3% in manual compression group (p<0.000). There was no patient dead. Conclusion: The efficiency and safety of hemostasis after CAG in manual compression were better than mechanical compression. Factor related to vascular complication was the mechanical compression method.https://www.jhsmr.org/index.php/jhsmr/article/view/309coronary angiographyhemostasismanual compressionmechanical compression |
| spellingShingle | Budsaya Dandecha Chantana Chalernsin A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression Journal of Health Science and Medical Research (JHSMR) coronary angiography hemostasis manual compression mechanical compression |
| title | A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression |
| title_full | A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression |
| title_fullStr | A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression |
| title_full_unstemmed | A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression |
| title_short | A Comparison of Efficiency and Safety of Femoral Artery Hemostasis After Coronary Angiography Between Manual Compression and Mechanical Compression |
| title_sort | comparison of efficiency and safety of femoral artery hemostasis after coronary angiography between manual compression and mechanical compression |
| topic | coronary angiography hemostasis manual compression mechanical compression |
| url | https://www.jhsmr.org/index.php/jhsmr/article/view/309 |
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