Document Detail


Hemostatic efficacy of hydrophilic wound dressing after transradial catheterization.
MedLine Citation:
PMID:  16145231     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Here, we evaluate the efficacy of the Clo-Sur PAD nonwoven hydrophilic wound dressing (HWD) on hemostasis in an arterial-access site after transradial percutaneous coronary angiography compared with the RadiStop compression device (CD). Eighty patients who had undergone transradial coronary angiography with or without intravascular ultrasound were randomly assigned to the HWD or CD group. The time required to achieve hemostasis was measured, and the incidence of vascular complications was assessed. No significant differences in clinical and procedural characteristics were observed between the HWD group (n = 40) and the CD group (n = 40). A significant reduction in the time required to achieve hemostasis (58.7 +/- 32.6 minutes versus 131.3 +/- 59.1 minutes; p < 0.001) was associated with the use of HWD. The incidence of vascular complications was similar in both groups (5% for HWD versus 2.5% for CD; p = 0.500). No major complications, such as large hematoma or acute radial occlusion, occurred in the HWD group. In conclusion, HWD represents a safe alternative to the compression method. Hemostasis can be achieved more quickly using HWD, with no increase in access site complications, as compared to CD.
Authors:
Eui-Young Choi; Young-Guk Ko; Jin-Bae Kim; Jihyuk Rhee; Sungha Park; Donghoon Choi; Yangsoo Jang; Won-Heum Shim; Sueng-Yun Cho
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  17     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-07     Completed Date:  2005-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  459-62     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Yonsei Cardiovascular Center and Cardiovascular Research Institute, Seoul 120-752, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Bandages, Hydrocolloid*
Coronary Angiography / adverse effects,  methods
Coronary Disease / radiography,  ultrasonography
Endosonography / adverse effects,  methods
Female
Follow-Up Studies
Heart Catheterization / adverse effects*
Hematoma / etiology,  therapy*
Hemostatic Techniques / instrumentation*
Humans
Male
Middle Aged
Occlusive Dressings
Radial Artery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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