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J Caring Sci. 2023;12(4): 235-240.
doi: 10.34172/jcs.2023.30700
PMID: 38249998
PMCID: PMC10799271
  Abstract View: 295
  PDF Download: 308

Original Article

Comparison of Vascular Complications after Arterial Sheath Removal using Manual Compression Method and ClampEase Method in Patients Undergoing Coronary Angiography

Javad Kazemi Darafshani 1 ORCID logo, Seyyed Abbas Hosseini 2* ORCID logo, Sima Babaei 3 ORCID logo, Alireza Khosravi Farsani 4 ORCID logo

1 Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Adult Health Nursing, Isfahan University of Medical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Adult Health Nursing, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Author: Seyyed Abbas Hosseini, Email: a_hoseini@nm.mui.ac.ir

Abstract

Introduction: Angiography stands as the paramount and definitive diagnostic method for coronary artery disease. However, akin to various other invasive procedures, it may carry a multitude of complications. This study sought to assess the incidence of vascular complications post-arterial sheath removal, comparing the use of a ClampEase device against manual compression.

Methods: This quasi-experimental clinical trial involved patients undergoing angiography at the post-angiography ward in Isfahan, Iran. A total of 91 patients were selected through convenience sampling and randomly assigned to either the manual compression or ClampEase device groups. Monitoring common vascular complications like hemorrhage, hematomas, and ecchymosis occurred up to 24 hours post-arterial sheath removal. Data were collected using a digital scale model DM3, a transparent flexible ruler, and a questionnaire named ‘vascular complications after angiography.’ Analysis was performed using SPSS software version 13.

Results: Statistical analysis revealed that, when compared to the manual method, compression with the ClampEase device led to fewer vascular complications in patients and a quicker return to homeostasis.

Conclusion: The findings underscore that the ClampEase method is a safer alternative with fewer vascular complications than the manual compression method. This discovery has implications for reducing hospital costs and length of stay. The ClampEase device is associated with a swifter time to hemostasis, contributing to enhanced patient comfort and acceptance.

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Submitted: 06 Apr 2022
Accepted: 09 Aug 2023
ePublished: 10 Sep 2023
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