ISSN 1016-5169 | E-ISSN 1308-4488
Effects of Sandbag-Free Follow-up After Manual Compression in Patients Who Underwent Transfemoral Access for Percutaneous Intervention [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(6): 394-399 | DOI: 10.5543/tkda.2024.59987

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

Ahmet Soylu1, Ahmet Taha Şahin2, Hasan Kan1, Hasan Sarı3, Sefa Tatar1
1Department of Cardiology, Necmettin Erbakan University, Faculty of Medicine, Konya, Türkiye
2Department of Cardiology, Beyhekim Training and Research Hospital, Konya, Türkiye
3Department of Cardiology, Mut State Hospital, Mersin, Türkiye


OBJECTIVE
Femoral access site complications (ASC) are frequent yet significant conditions associated with percutaneous intervention procedures that affect patient-physician 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 into two groups: 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
No differences were 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 after 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.

Keywords: Access site complications, percutaneous intervention, sandbag, transfemoral access

Corresponding Author: Ahmet Taha Şahin
Manuscript Language: English
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Journal Citation Indicator: 0.18
CiteScore: 1.1
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SCImago Journal Rank: 0.348

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