The Influence of Use Artery-Femoral Band (ARFEBAND) to Haematom Incident in Patients Aafter Percutaneus Coronary Intervention (PCI)

Junait Junait, Hery Djagat Purnomo, Chandra Bagus Ropyanto

Abstract


Background: Haematom is the main vascular complication in the patients after percutaneus coronary intervention (PCI). This incidents is important to be prevented and be overcome because the internal bleeding is not easy to be control and it can be make extend the mass of patients to inpatient in the hospital. Artery-femoral Band (arfeband) is a device designed that worthy and safe to keep the stability of haemostasis after PCI. Purpose of the research: it is to know the influence of use arfeband to haematom incidents in patients after PCI.

Methods: this research used the quasy- eksperiment pre-post control trial design, it involves 121 patients after the elective of PCI that receives the intervention group (IG) and control group (CG) that is done for 6 hours after the removal of the sheath femoral artery, 60 IG used arfeband and 61 CG with the sand bag. The measurement of diameter haematom is done when before and after intervention.

Results: this research shows that before the intervention, there are no differences that significant between IG and CG p=0,909. There are the significant differences to haematom incidents after the use of IG with P<0,05, OR 0,398 with CI 95%  0,172 – 0,919. It means that arfeband is reducing the haematon incidents for 60,2 %. The size of the diameter of pre and post procedure, it is decrease in average of 30,4(±13,6)mm to be 10,9 (±15,9) p<0,05.

Conclusion: this research shows that the intervention of use arfeband influences to decrease the haematom incidents significantly after percutaneus coronary intervention (PCI).


Keywords


arfeband; percutaneus coronary intervention (PCI); haematom

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