Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation.
Circ J
; 79(8): 1727-32, 2015.
Article
em En
| MEDLINE
| ID: mdl-25993904
ABSTRACT
BACKGROUND:
The incidence of hematoma formation following implantation of a cardiovascular implantable electronic device (CIED) is estimated to be 5% even if a pressure dressing is applied. It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, the adhesive tape for fixing pressure dressings can tear the skin. We developed a new compression tool for preventing hematomas and skin erosions. METHODS ANDRESULTS:
We divided 46 consecutive patients receiving anticoagulation therapy who underwent CIED implantation into 2 groups (Group I conventional pressure dressing, Group II new compression tool). The pressure on the pocket was measured in both the supine and standing positions. The incidence of hematomas was compared between the 2 groups. The pressure differed between the supine and standing positions in Group I, but not in Group II (Group I 14.8±7.1 mmHg vs. 11.3±9.9 mmHg, P=0.013; Group II 13.5±2.8 mmHg vs. 13.5±3.5 mmHg, P=0.99). The incidence of hematomas and skin erosions was documented in 2 (8.7%) and 3 (13%) Group I patients, respectively. No complications were documented in Group II.CONCLUSIONS:
The new compression tool can provide adequate continuous pressure on the pocket, regardless of body position. This device may reduce the incidence of hematomas and skin erosions after CIED implantation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dermatopatias
/
Desfibriladores Implantáveis
/
Bandagens Compressivas
/
Hematoma
Tipo de estudo:
Clinical_trials
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article