대한방사선기술학회지:방사선기술과학 (Journal of radiological science and technology)

  • 제42권3호
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  • Pages.195-199
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  • 2019
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  • 2288-3509(pISSN)
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  • 2384-1168(eISSN)
대한방사선과학회 (Korean Society of Radiological Science)
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동맥천자 인터벤션 시술 후 지속지혈 안전성에 대한 연구

A Study on the Safety of Continuous Hemostasis after Arterial Puncture Intervention

  • 투고 : 2019.06.19
  • 심사 : 2019.06.21
  • 발행 : 2019.06.30
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초록

Most of the vascular procedures performed for various diagnoses and treatments of various abdominal intervention procedures performed by the Department of Radiology and Angiography are performed by puncture of the femoral artery. For this reason, patients should undergo blood-related tests such as prothrombin time (PT) and partial thromboplatin time (PTT). Therefore, many patients are instructed to take precautions such as putting a sandbag on the puncture site to prevent delayed hemorrhage after hemostasis of the femoral artery puncture site, and not to bend the leg of the treated area for about 3 hours. Because of this, many patients have complained of pain during the procedure and inconvenience during the absolute bed rest time in the ward. The purpose of this study was to compare the safety of balloon ancillary devices with sandbags placed on the hemostasis site to prevent delayed hemorrhage after arterial puncture. We compared the safety of each patient with the results of medical records in consideration of the problem that the patient could not press with the focus, the position of the patient was changed depending on the patient's body shape, and the problem of falling down according to the location of the puncture site. As a result, the use of a balloon type ancillary device improves the effect of continuous hemostasis, reduces discomfort during the patient's absolute stabilization time, increases the patient's satisfaction, and is a good alternative to the existing sandbag.

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참고문헌

  1. Khosla S, Kunjummen B, Guerrero M, Manda R, Razminia M, Ahmed A. Suture-mediated closure of the femoral access site after cardiac catheterization: results of the Suture To Ambulate and Discharge (STAND 1 and STAND 11) trials. Am J Cardiol. 2000;85:864-69. https://doi.org/10.1016/S0002-9149(99)00882-6
  2. Weyman RM, Safian RD, Portway V, Skillman JJ, McKay RG, Baim DS. Current complications of diagnostic and therapeutic cardiac catheterization. J Am Coll Cardiol. 1988;12:1400-6. https://doi.org/10.1016/S0735-1097(88)80002-0
  3. Pompa JJ, Satler LF, Pitchard AD, et al. Vascular complications after balloon and new device angioplasty. Circulation 1993;88:1569-78. https://doi.org/10.1161/01.CIR.88.4.1569
  4. Fransson SG, Nylander E. Vascular injury following cardiac catheterization, coronary angiography, and coronary angioplasty. Eur Heart J. 1994;15:232-5. https://doi.org/10.1093/oxfordjournals.eurheartj.a060481
  5. Ricci MA, Trevisani GT, Pilcher DB. Vascular complications of cardiac catheterization. Am J Surg. 1994;167:375-8. https://doi.org/10.1016/0002-9610(94)90119-8
  6. Waksman R, King SB 3rd, Douglas JS, et al. Predictors of groin complications after balloon and new-device coronary intervention. Am J Cardiol. 1995;75:886-9. https://doi.org/10.1016/S0002-9149(99)80681-X
  7. MacDonald LA, Meyers S, Bennett CL, et al. Post-cardiac catheterization access site complications and low molecular weight heparin following cardiac catheterization. J Invasive Cardiol. 2003;15:60-2.
  8. Weyman RM, Safian RD, Portway V, Skillman JJ, McKay RG, Baim DS. Current complications of diagnostic and therapeutic cardiac catheterization. J Am Coll Cardiol. 1988;12:1400-6. https://doi.org/10.1016/S0735-1097(88)80002-0
  9. Pompa JJ, Satler LF, Pitchard AD, et al. Vascular complications after balloon and new device angioplasty. Circulation. 1993;88:1569-78. https://doi.org/10.1161/01.CIR.88.4.1569
  10. Fransson SG, Nylander E. Vascular injury following cardiac catheterization, coronary angiography, and coronary angioplasty. Eur Heart J. 1994;15:232-5. https://doi.org/10.1093/oxfordjournals.eurheartj.a060481
  11. Ricci MA, Trevisani GT, Pilcher DB. Vascular complications of cardiac catheterization. Am J Surg. 1994;167:375-8. https://doi.org/10.1016/0002-9610(94)90119-8
  12. Waksman R, King SB 3rd, Douglas JS, et al. Predictors of groin complications after balloon and new-device coronary intervention. Am J Cardiol. 1995;75:886-9. https://doi.org/10.1016/S0002-9149(99)80681-X
  13. Castañeda F, Swischuk JL, Smouse HB, Brady T. Gelatin sponge closuredevice versus manual compression after peripheral arterial catheterizationprocedures. J Vasc Interv Radiol 2003; 14:1517-1523. https://doi.org/10.1097/01.RVI.0000099530.29957.DD
  14. Reynolds S, Waterhouse K, Miller KH. Patient care after percutaneoustransluminal coronary angioplasty. Nursing Management. 2001;32(9):51-4. https://doi.org/10.1097/00006247-200101000-00022
  15. Kim PJ, Jeong JI, Ro JS, Na H, Kim KY, Kim KS, et al. The effectof position change on discomfort and bleeding after coronaryangiograpy. Journal of Korean Clinical Nursing Research. 2009;15(1):19-28.
  16. Kee EJ. A study for discomfort and bleeding complicationsduring absolute bed rest in patients undergoing percutaneouscoronary intervention [master's thesis]. Suwon: Ajou University; 2001.