Comparison of Sandbag, Close Pad, and Cold Application Combined with Sandbag in Preventing Peripheral Vascular Complications After Cardiac Catheterisation

Emine Korkmaz; Şerife Karagözoğlu

doi:10.7197/cmj.1053991

EN

Comparison of Sandbag, Close Pad, and Cold Application Combined with Sandbag in Preventing Peripheral Vascular Complications After Cardiac Catheterisation

Abstract

Objective: This study was conducted to compare the effectiveness of sandbag method, close pad application, and cold application plus sandbag in preventing peripheral vascular complications after coronary procedure.

Methods: 120 patients were included in this experimental study. Three different methods were used following coronary procedure within the scope of the planned study. Only sandbag was used for 40 patients, only close pad for 40 patients and cold application plus sandbag for 40 patients. In all groups, the presence of hematoma, haemorrhage, ecchymosis, and pain was evaluated at the 15th minute, 4th hour, on 1st, and 2nd days after removal of the catheter. The data were collected using the Personal Information Form, the Individual Observation Form and the Visual Analogue Scale.

Results: In the second day follow-up after coronary intervention, it was found that ecchymosis was higher for the close pad method, but it was similar in the sandbag group and sandbag plus cold application group (p = 0.047). At the 4th hour follow-up after coronary intervention, the pain in the sandbag plus cold application method was less than the close pad and sandbag methods (p = 0.04).

Conclusions: It was concluded that the methods applied in the present study were effective in preventing peripheral vascular complications. In this context, it was thought that the present study may guide the more comprehensive randomised controlled studies to be planned in the future.

Keywords

Supporting Institution

Kayseri Şehir Eğitim ve Araştırma Hastanesi

Project Number

2015-07/01

References

1. Kreatsoulas C, Anand S. The impact of social determinants on cardiovascular disease. Can J Cardiol 2010;26:8-13.
2. Ginanjar R, Hadisaputro S, Sudirman M. Effectiveness Of Cold Pack With Early Ambulation In Preventing Complications Of Haemorrhage And Haematoma In Patients Post Cardiac Catheterization. BNJ 2018;4(1):83-8.
3. Kim JY, Yoon J. Transradial approach as a default route in coronary artery interventions. Korean Circ J 2011;41(1):1-8.
4. Kristiyan A, Purnomo HD, Ropyanto CB. Post Percutaneous Coronary Intervention (Pci): Literature Review. J Holist Nurs 2019;2(1):16-21.
5. Abhijeet W, Shivanand B. A Study To Assess the Knowledge and Practices Among Cardiac Nurses About Patient Safety After Cardiac Catheterization. IJSR 2018;8(6):916-20.
6. Harold JG, Bass TA, Bashore TM, Brindis RG, Brush JE Jr, Burke JA, et al. ACCF/AHA/ SCAI 2013 update of the clinical competence statement on coronary artery interventional procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. J Am Coll Cardiol 2013;62(4):357-96.
7. Yaman HE, Gurses B. Technical Features, Local Vascular Complications and Patient Experiences Regarding of Vascular Entry Path Used for Percutaneous Coronary Intervention. Turkiye Klinikleri J Cardiovasc Sci 2019;31(1):41-51.
8. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Executive summary: heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation 2016;133(4):447-54.

9. Piper WD, Malenka DJ, Ryan TJ Jr, Shubrooks SJ Jr, O'Connor GT, Robb JF, et al. Predicting vascular complications in percutaneous coronary interventions. Am Heart J 2003;145(6):1022-9.
10. Dumont C, Keeling A, Bourguignon C, Sarembock IJ, Turner M. Predictors of vascular complications post diagnostic cardiac catheterization and percutaneous coronary ınterventions. Dimens Crit Care Nurs 2006;25(3):137-42.
11. Guleser GN, Korkut S, Oguzhan A. The complication of pain due to removal of femoral catheters following percutaneous coronary ıntervention: vasovagal reactions and nursing care. Turk J Cardiovasc Nurs 2014;5(7):41-7.
12. Rezaei-Adaryani M, Ahmadi F, Mohamadi E, Asghari-Jafarabadi M. The effect of three positioning methods on patient outcomes after cardiac catheterization. J Adv Nurs 2009;65(2):417-24.
13. Rezaei-Adaryani M, Ahmadi F, Asghari-Jafarabadi M. The effect of changing position and early ambulation after cardiac catheterization on patients' outcomes: a single-blind randomized controlled trial. Int J Nurs Stud 2009;46(8):1047-53.
14. Tzinieris IN, Papaioannou GI, Dragomanovits SI, Deliargyris EN. Minimizing femoral access complications in patients undergoing percutaneous coronary interventions: a proposed strategy of bony landmark guided femoralaccess, routine access site angiography and appropriate use of closure devices. Hellenic J Cardiol 2007;48(3):127-33.
15. Beşli F, Alişir MF, Keçebaş M, Serdar OA, Güngören F. Comparison of pneumatic compression device and sand bag with respect to peripheral vascular complications in elective cardiac catheterization and percutaneous femoral artery interventions. Turk Kardiyol Dern Ars 2013;41(6):478-85.
16. Bitargil M, Başbuğ HS, Göçer H, Günerhan Y, Karakurt A. Our Approaches to Vascular Complications as a result of Coronary Angiography. TJVS 2014;23(3):164-8.
17. Potter PA, Perry AG, Stockert P, Hall A. Fundamentals of nursing E-book. Elsevier Health Sciences; 2013.
18. Berman AT, Snyder C, Frandsen G, EdD. Kozier & Erb's fundamentals of nursing. Pearson Education; 2015.
19. Demir Y. Pain and management. In: Aştı TA, Karadağ A (Eds). Fundamentlas of Nursing. Akademi Press; 2012:626-59.
20. Bayındır SK, Çürük GN, Oguzhan A. Effect of Ice Bag Application to Femoral Region on Pain in Patients Undergoing Percutaneous Coronary Intervention. Pain Res Manag 2017;2017:6594782. doi: 10.1155/2017/6594782.
21. Demir Y, Khorshid L. The effect of cold application in combination with standard analgesic administration on pain and anxiety during chest tube removal: a single-blinded, randomized, double-controlled study. Pain Manag Nurs 2010;11(3):186-96.
22. King N, Philpott S, Leary A. A randomized controlled trial assessing the use of compression versus vasoconstriction in the treatment of femoral hematoma occurring after percutaneous coronary intervention. Heart Lung 2008;37:205-10.
23. Chu J, Cutugno C, Joy SS, Roush K. Vasoconstriction vs compression for femoral hematoma after coronary angiography. AJN 2009;109:71-2.
24. Aslan FE. Pain Nature and Control. 1st edition. İstanbul, Avrupa Tıp Press; 2006.
25. Young K, Earl T, Selzer F, Marroquin OC, Mulukutla SR, Cohen HA, et al. Trends in major entry site complications from percutaneous coronary intervention (from the Dynamic Registry). Am J Cardiol 2014;113(4):626-30.
26. Katırcıbaşı T, Çamsarı A, Döven O, Pekdemir H, Akkuş N, Çiçek D. Femoral vascular complications after percutaneous coronary interventions. Anadolu Kardiyol Derg 2004;4(1):39-44.
27. Merriweather N, Sulzbach-Hoke LM. Managing risk of complications at femoral vascular access sites in percutaneous coronary intervention. Crit Care Nurse 2012; 32(5):16-29.
28. Curuk GN, Taşcı S, Elmalı F, Oguzhan A, Kalay N. The Effect of Ice-Bag Applied to Femoral Region of Individuals with Percutaneous Coronary Intervention on Local Vascular Complications and Low Back-Pain. JNHS 2017;6(1):136-44.
29. Sabo J, Chlan LL, Savik K. Relationships among patient characteristics, comorbidities, and vascular complications postpercutaneous coronary intervention. Heart Lung 2008; 37(3):190-5.
30. Cosman TL, Arthur HM, Natarajan MK. Prevalence of bruising at the vascular access site one week after elective cardiac catheterisation or percutaneous coronary intervention. J Clin Nurs 2011;20:1349-56.
31. Jones T, McCutcheon H. Effectiveness of mechanical compression devices in attaining hemostasis afterfemoral sheath removal. Am J Crit Care 2002;11(2):155-62.
32. Nikolsky E, Mehran R, Halkin A, Aymong ED, Mintz GS, Lasic Z, et al. Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a metaanalysis. J Am Coll Cardiol 2004;44(6):1200-9.
33. Applegate RJ, Sacrinty M, Kutcher MA, Kahl FR, Gandhi SK, Santos RM, et al. Vascular complications with newer generations of Angioseal vascular closure devices. J Interv Cardiol 2006;19(1):67-74.
34. Roberts A, Collins J, Harlamert E, Champion J, Cronin K, Avram J. Safeguard Manual Assist Technique: The SMAT Study. Cath Lab Digest 2008;16(6).
35. Kucukguclu O, Okumuş H. The Effects of The Application of The Ice to The Injection Site, on The Patients Who Are Administered Anticoagulant Therapy. DEUHYO ED 2010;3(4):182-6.
36. Avşar G, Kaşikçi M. Assessment of four different methods in subcutaneous heparin applications with regard to causing bruise and pain. Int J Nurs Pract 2013;19(4):402-8.
37. Kinnaird TD, Stabile E, Mintz GS, Lee CW, Canos DA, Gevorkian N, et al. Incidence, predictors, and prognostic implications of bleeding and blood transfusion following percutaneous coronary interventions. Am J Cardiol 2003;92(8):930-5.
38. Kurt Y, Kaşıkçı M. The effect of the application of cold on hematoma, ecchymosis, and pain at the catheter site in patients undergoing percutaneous coronary intervention. Int J Nurs Sci 2019;6(4):378-84.
39. Rani SB, Lakshmi R, Pillai AAK, Nisha SA. The risk factors associated with complications of coronary angiogram: A cross- sectional observational study. Int J Adv Med Health Res 2016;3(1):11-5.
40. Capasso VA, Codner C, Nuzzo-Meuller G, Cox EM, Bouvier S. Peripheral arterial sheath removal program: A performance improvement initiative. J Vasc Nurs 2006;24(4):127-32.
41. Wentworth LJ, Bechtum EL, Hejlik JB, Scott GC, Munger TM, Brady PA, et al. A Pilot Study: Effects of Ice Therapy on Vascular Access Site Pain Following Atrial Fibrillation Radiofrequency Catheter Ablation. Eplab Digest 2013;13(2).
42. Wicaksono G, Ta’adi T, Djamil M. Effectiveness of Cold Compress with Ice Gel on Pain Intensity among Patients with Post Percutaneous Coronary Intervention (PCI). IJNHS 2020;3(6):680-6.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Emine Korkmaz ^*
0000-0001-7801-016X
Türkiye

Şerife Karagözoğlu
0000-0002-9558-0786
Türkiye

Publication Date

June 30, 2022

Submission Date

January 8, 2022

Acceptance Date

May 13, 2022

Published in Issue

Year 2022 Volume: 44 Number: 2

DOI

https://doi.org/10.7197/cmj.1053991

IZ

https://izlik.org/JA57TB32LD

Cite

RIS / Bibtex

AMA

1.Korkmaz E, Karagözoğlu Ş. Comparison of Sandbag, Close Pad, and Cold Application Combined with Sandbag in Preventing Peripheral Vascular Complications After Cardiac Catheterisation. CMJ. 2022;44(2):150-158. doi:10.7197/cmj.1053991

Cited By

A Study to Assess the Effectiveness of Cryotherapy in Preventing Hematoma at the Arterial Puncture Site Among Post-percutaneous Coronary Intervention (PCI) Patients in a Selected Tertiary Care Hospital, Belagavi

Cureus

https://doi.org/10.7759/cureus.80921

Öz

Comparison of Sandbag, Close Pad, and Cold Application Combined with Sandbag in Preventing Peripheral Vascular Complications After Cardiac Catheterisation

Abstract

Keywords

Supporting Institution

Project Number

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite

Cited By

A Study to Assess the Effectiveness of Cryotherapy in Preventing Hematoma at the Arterial Puncture Site Among Post-percutaneous Coronary Intervention (PCI) Patients in a Selected Tertiary Care Hospital, Belagavi