Key result
Figure-of-eight suture cuts treatment time ~17% and reduces DVT versus manual compression for tunnel bleeding.
Why the study?
The efficacy of the figure-of-eight suture technique compared with manual compression for treating tunnel bleeding after femoral artery puncture needed evaluation.
Does the figure-of-eight suture technique improve treatment time and reduce complications compared to manual compression in patients with tunnel bleeding after femoral artery puncture?
RCT (n=152)
Does the figure-of-eight suture technique improve treatment time and reduce complications compared to manual compression in patients with tunnel bleeding after femoral artery puncture?
The figure-of-eight suture technique is a superior alternative to manual compression for treating tunnel bleeding after femoral artery puncture, offering faster hemostasis and lower DVT risk.
Supports figure-of-eight suture adoption for tunnel bleeding to shorten treatment and lower DVT; extends RCT evidence on post-puncture hemostasis options.
Objective To evaluate the efficacy of the figure-of-eight (FOE) suture technique in the treatment of tunnel bleeding after femoral artery puncture compared with manual compression (MC). Methods This prospective, randomized, controlled study enrolled patients that had received transfemoral coronary artery angiography or percutaneous coronary intervention and then developed tunnel bleeding. They were randomly assigned into two groups: FOE suture group (ES group) and manual compression group (MC group). Total treatment time, performance frequency, performance time, rate of deep vein thrombosis (DVT) and in-hospital time after the procedure were compared. Results A total of 152 patients were enrolled in the study (ES group, n = 63; MC group, n = 89). Compared with the MC group, the total treatment time (mean ± SD: ES 22.3 ± 5.4 h versus MC 26.8 ± 6.8 h), performance frequency (mean ± SD: ES 2.1 ± 0.7 versus MC 2.6 ± 1.1), performance time (mean ± SD: ES 8.9 ± 2.5 min versus MC 12.3 ± 4.1 min), in-hospital time after the procedure (mean ± SD: ES 3.5 ± 1.2 days versus MC 4.8 ± 2.1 days) and DVT rate (ES 0.0% versus MC 6.7%) were significantly lower in the ES group. Conclusion The FOE suture technique effectively treated tunnel bleeding after femoral artery puncture.
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Huang et al. (2020) conducted an RCT in Tunnel bleeding after femoral artery puncture (n=152). Figure-of-eight (FOE) suture technique vs. Manual compression was evaluated on Total treatment time (hours). The figure-of-eight suture technique significantly reduced total treatment time (22.3 vs 26.8 hours) and DVT rate (0.0% vs 6.7%) compared to manual compression for tunnel bleeding.
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