Effects of Sandbag-free Follow-up After Manual Compression in Patients Who Underwent Transfemoral Access for Percutaneous Intervention

BACKGROUND
Femoral access site complications (ASC) are frequent yet significant conditions associated with percutaneous intervention procedure that affects patient-doctor comfort. In this study, we compared ASC rates between patients who received compression with a sandbag, the standard practice in many clinics, and patients monitored solely with bedrest without sandbag compression.

METHODS
This study included patients undergoing any transfemoral percutaneous intervention (mostly coronary interventions) between April 2019 and May 2023 at our clinic. Patients were classified as those monitored without a sandbag (n=160) and those with a sandbag (n=158); ASC rates (ecchymosis, pseudoaneurysm, hematoma, bleeding) were compared between the two groups.

RESULTS
There were no differences observed between the two groups in gender, age, sheath size, and bed rest times. Complications were observed in 16.9% (n=27) of patients without sandbags and 25.3% (n=40) of patients with sandbags. The most common complication was ecchymosis, seen in 10.6% (n=17) of the no-sandbag group and 13.9% (n=22) of the sandbag group.

CONCLUSION
Following manual compression subsequent to femoral sheath removal, patients receiving bedrest without sandbag use are less likely to develop ASC. Additionally, dismissing sandbag use leads to a significant increase in patient comfort.