Department of Cardiology, Necmettin Erbakan University, Faculty of Medicine, Konya, Türkiye.
Department of Cardiology, Beyhekim Training and Research Hospital, Konya, Türkiye.
Turk Kardiyol Dern Ars. 2024 Sep;52(6):394-399. doi: 10.5543/tkda.2024.59987.
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.
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.
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.
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.
股动脉入路并发症（ASC）是与经皮介入治疗相关的常见且严重的情况，会影响医患舒适度。本研究比较了接受沙袋压迫（许多诊所的标准做法）和仅卧床休息不使用沙袋压迫的患者 ASC 发生率。
本研究纳入了 2019 年 4 月至 2023 年 5 月期间在我院行任何经股动脉经皮介入治疗（主要为冠状动脉介入）的患者。患者分为两组：未使用沙袋组（n=160）和使用沙袋组（n=158）。比较两组 ASC 发生率（瘀斑、假性动脉瘤、血肿、出血）。
两组患者在性别、年龄、鞘管大小和卧床时间方面无差异。未使用沙袋的患者中有 16.9%（n=27）出现并发症，使用沙袋的患者中有 25.3%（n=40）出现并发症。最常见的并发症是瘀斑，未使用沙袋组有 10.6%（n=17）患者发生，使用沙袋组有 13.9%（n=22）患者发生。
股鞘拔出后进行手动压迫后，不使用沙袋卧床休息的患者 ASC 发生率较低。此外，不使用沙袋会显著提高患者舒适度。
