REDUCTION OF FEMORAL ARTERIAL BLEEDING POST CATHETERIZATION USING PERCUTANEOUS APPLICATION OF FIBRIN SEALANT

被引:21
作者
ISMAIL, S
COMBS, MJ
GOODMAN, NC
TEOTIA, SS
TEATES, CD
ABBOTT, RD
FECHNER, RE
NOLAN, SP
POWERS, ER
SPOTNITZ, WD
机构
[1] UNIV VIRGINIA, HLTH SCI CTR, DIV THORAC & CARDIOVASC SURG, CHARLOTTESVILLE, VA USA
[2] UNIV VIRGINIA, HLTH SCI CTR, DIV NUCL MED, CHARLOTTESVILLE, VA USA
[3] UNIV VIRGINIA, HLTH SCI CTR, DIV CARDIOL, CHARLOTTESVILLE, VA USA
[4] UNIV VIRGINIA, HLTH SCI CTR, DIV BIOSTAT, CHARLOTTESVILLE, VA USA
[5] UNIV VIRGINIA, HLTH SCI CTR, DIV SURG PATHOL, CHARLOTTESVILLE, VA USA
来源
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS | 1995年 / 34卷 / 01期
关键词
TISSUE ADHESIVE; HEMOSTASIS; GROIN; PERCUTANEOUS;
D O I
10.1002/ccd.1810340322
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The number of cardiac catheterizations performed yearly is growing with correspondingly increasing amounts of morbidity, complications, and hospital costs. This study suggests that fibrin sealant instillation via an arterial sheath at the completion of femoral catheterization may improve hemostasis. Results using fibrin sealant in 12 unheparinized dogs documented significant reductions (McNemar's exact test) versus control for groin ecchymoses (1 versus 8, P = .008) and radiolabeled hematoma formation (0 versus 7, P = .016). Also swelling was less in the fibrin sealant treated groins when compared to control groins (1 versus 6, P = .125), but failed to reach statistical significance, Results in eight heparinized dogs (activated clotting time 374 +/- 22, mean +/- SEM) revealed a statistically significant reduction in signs of gross bleeding in the fibrin sealant-treated groins (1 versus 8, P = .016), This method may contribute to reduced morbidity, complications, and length of hospitalization. It may also allow for earlier patient mobilization after cardiac catheterization. (C) 1995 Wiley-Liss, Inc.
引用
收藏
页码:88 / 95
页数:8
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