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Femoral artery haemostasis with a pneumatic compression device versus a clamp after coronary angiography
Östergötlands Läns Landsting, Heart Centre, Department of Clinical Physiology. Clinical Physiology, University Hospital, Linköping .
Östergötlands Läns Landsting, Heart Centre, Department of Cardiology. Cardiology, University Hospital, Linköping.
Östergötlands Läns Landsting, Heart Centre, Department of Cardiology Thoracic Radiology.
1998 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, Vol. 32, no 5, 281-284 p.Article in journal (Refereed) Published
Abstract [en]

To evaluate the safety and efficacy of a new pneumatic compression device for achieving haemostasis after femoral artery catheterization, 1,017 patients undergoing selective coronary angiography by a SF unilateral femoral route were prospectively randomised to pneumatic or the routinely used clamp compression technique. All initial bleedings could be controlled in the pneumatic group, whereas in 38 patients (8%) of the clamp group the initial positioning of the clamp was unsuccessful or was not tolerated by the patient (p less than 0.05). Ultrasound Doppler study of the puncture site because of suspected postcatheterization vascular complication revealed two haematomas which needed no further measure and two pseudoaneurysms which were successfully treated with ultrasound-guided compression or surgical repair. The rate of complications requiring treatment (pseudoaneurysms) was 0.2% overall, 0.5% in the clamp group and nil in the pneumatic compression group (NS). We conclude that the pneumatic compression device is effective, convenient and at least as safe as the clamp and, by shortening the time in the catheterization laboratory, offers time for further angiograms.

Place, publisher, year, edition, pages
Informa Healthcare, 1998. Vol. 32, no 5, 281-284 p.
Keyword [en]
coronary angiography, pneumatic compression haemostasis
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-110747DOI: 10.1080/14017439850139870ISI: 000076993900004PubMedID: 9835002OAI: diva2:758084
Available from: 2014-10-24 Created: 2014-09-19 Last updated: 2014-11-05

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Janerot-Sjöberg, BirgittaBroqvist, MatsFransson, Sven-Göran
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Department of Clinical PhysiologyDepartment of CardiologyDepartment of Cardiology Thoracic Radiology
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