ISSN 2149-2263 | E-ISSN 2149-2271
pdf
Comparison of Access Site Complications After Early or Late Sheath Removal in Patients with PCI, Regardless of ACT Levels [Anatol J Cardiol]
Anatol J Cardiol. 2022; 26(8): 654-661 | DOI: 10.5152/AnatolJCardiol.2022.1733

Comparison of Access Site Complications After Early or Late Sheath Removal in Patients with PCI, Regardless of ACT Levels

Ferhat Özyurtlu1, Ibrahim Halil Özdemir2, Nurullah Çetin3, Veysel Yavuz4
1Department of Cardiology, Grand Medical Hospital, Manisa, Turkey
2Department of Cardiology, Manisa City Hospital, Manisa, Turkey
3Department of Cardiology, Celal Bayar University, Manisa, Turkey
4Department of Cardiology, Akhisar Mustafa Kirazoğlu State Hospital, Manisa, Turkey

Background: Despite the lack of supporting data, many clinics perform sheath removal 4-6 hours after femoral percutaneous coronary intervention to reduce the risk of possible access site complications. This study aims to examine the effects of sheath removal immediately after the procedure on access site complications and patient comfort.

Methods: This prospective study included 349 patients who underwent percutaneous coronary intervention via the femoral site and 6 French guiding catheters. The sheath in the early group was removed immediately after the procedure without checking the activated clotting time levels but after 4 hours in the late group. Access site complications were recorded and patient comfort was evaluated using the Visual Analog Scale.

Results: Patients were divided into 2 groups: patients in the early removal group (n=171) and in the late removal group (n= 178). There was no statistically significant difference between the 2 groups in terms of access site complications. Three patients in the early removal group and 4 patients in the late removal group developed a hematoma. Six patients in the early removal group and 10 patients in the late removal group showed ecchymosis.TheVisualAnalogScalescorewas statistically significantly lower intheearly removal group compared with that in the late removal group [2 (1-3) vs. 3 (2-4), P <.001].

Conclusion: This study shows that immediate sheath removal is safe and more comfortable for patients with percutaneous coronary intervention who received weightadjusted dose of heparin, regardless of the percutaneous coronary intervention levels after the procedure

Keywords: Access site complications, percutaneous coronary intervention, Visual Analog Scale

Ferhat Özyurtlu, Ibrahim Halil Özdemir, Nurullah Çetin, Veysel Yavuz. Comparison of Access Site Complications After Early or Late Sheath Removal in Patients with PCI, Regardless of ACT Levels. Anatol J Cardiol. 2022; 26(8): 654-661

Corresponding Author: Ferhat Özyurtlu, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 The Anatolian Journal of Cardiology



Kare Publishing is a subsidiary of Kare Media.