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. 2019 May;35(3):320-324.
doi: 10.6515/ACS.201905_35(3).20190107A.

Effectiveness of a Non-Taped Compression Dress in Patients Receiving Cardiac Implantable Electronic Devices

Chih-Yin Chien  1 , Ya-Hui Chang  2 , Yih-Jer Wu  3   4 , Po-Lin Lin  3 , Wei-Ru Chiou  3   4 , Bo-Ching Chi  3   5 , Hsu-Ping Wu  3 , Feng-Ching Liao  3 , Ying-Hsiang Lee  3   4
Affiliations

Effectiveness of a Non-Taped Compression Dress in Patients Receiving Cardiac Implantable Electronic Devices

Chih-Yin Chien et al. Acta Cardiol Sin. 2019 May.

Abstract

Background: Hematoma and skin damage are not uncommon after cardiac implantable electronic device (CIED) placement. The use of conventional hemostatic gauze and tape seems to be suboptimal in controlling these complications. This study aimed to evaluate the impact of a novel compression dress with a special pad and elastic bands for postoperative care.

Methods: A total of 175 CIED recipients were randomly divided into two groups: an experimental group with 85 patients who used a non-taped compression dress and a control group with 90 patients who used conventional gauze ball and elastic tapes. Skin integrity, hematoma, and oozing were compared between these two groups within 7 days after surgery.

Results: The mean age of the patients was 71.2 ± 13.3 years, and 83 (47.4%) were male. The results of the experimental vs. control group were as follows: skin integrity - 96.5% vs. 86.7% (p < 0.05); hematoma - 0% vs. 7.8% (p < 0.05); and oozing - 1.2% vs. 7.8% (p < 0.05). All observed endpoints were better in the experimental group.

Conclusions: The use of a non-taped compression dress was associated with less unfavorable outcomes in terms of skin integrity and hemostasis.

Keywords: Cardiac implantable electronic device (CIED); Complication; Compression dress; Hematoma; Pocket.

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Figures

Figure 1
Figure 1
Flow of the study.
Figure 2
Figure 2
Non-taped compression dress.
Figure 3
Figure 3
Demonstration of non-taped compression dress.
See this image and copyright information in PMC

References

    1. Bernard ML, Shotwell M, Nietert PJ, Gold MR. Meta-analysis of bleeding complications associated with cardiac rhythm device implantation. Circ Arrhythm Electrophysiol. 2012;5:468–474. - PMC - PubMed
    1. Martin-Casañas FV, Caballero-Estevez N, Dominguez-Rodriguez A, et al. Cardiac device infections is associated with pocket hematoma and diabetes mellitus: the role of the cardiovascular nurse. Int J Cardiol. 171:e5–e7. - PubMed
    1. Kutinsky IB, Jarandilla R, Jewett M, Haines DE. Risk of hematoma complications after device implant in the clopidogrel era. Circ Arrhythm Electrophysiol. 2010;3:312–318. - PubMed
    1. Wiegand UK, LeJeune D, Boguschewski F, et al. Pocket hematoma after pacemaker or implantable cardioverter defibrillator surgery: influence of patient morbidity, operation strategy, and perioperative antiplatelet/anticoagulation therapy. Chest. 2004;126:1177–1186. - PubMed
    1. Liu YH, Lin WS, Lin YC, et al. A rare experience of infective residual sheath in the wall of the innominate vein after extraction of implantable-defibrillators. Acta Cardiol Sin. 2017;33:450–452. - PMC - PubMed

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