Key result
Combined ice and sandbag application reduces post-PCI hemorrhage weight ~43% versus sandbag alone.
Why the study?
Complications of angioplasty often increase hospital stay and costs, prompting investigation into whether sand and ice bags reduce hematoma and hemorrhage after PCI.
Does simultaneous sand-ice bag application reduce hemorrhage and hematoma in patients undergoing femoral percutaneous coronary intervention?
RCT (n=60)
Open-label
randomly divided
No
Does simultaneous sand-ice bag application reduce hemorrhage and hematoma in patients undergoing femoral percutaneous coronary intervention?
Absolute Event Rate: 1.3% vs 2.3%
p-value: p=0.001
Simultaneous application of sand and ice bags significantly reduces post-PCI hemorrhage compared to sand bags alone.
Supports combined sand-ice bags to reduce post-PCI hemorrhage; extends sparse RCT data on compressive cooling for femoral access complications.
Introduction: Angioplasty is widely used as a selective treatment for acute coronary syndromes. The complications of this procedure often lead to an increase in the length of the patients’ stay and hospital costs. Therefore, this study aimed to determine the effect of using sand and ice bags on hematoma and hemorrhage after percutaneous coronary intervention (PCI). Methods: In this randomized clinical trial, study was completed with participation of 60 patients with femoral angioplasty candidate, referring to Imam Reza hospital in Mashhad, were randomly divided into control and intervention groups. In the control group, a sand bag was placed on the location for up to 4 hours. In the intervention group, the ice bag and the sand bag were used simultaneously for 15 minutes, and then for 45 minutes, with the pressure of the sand bag only. This cycle was repeated four times. Hemorrhage (volume and weight) and hematoma (area and lump) were checked four times. The data were analyzed using SPSS software version 22. Results: The rate of hemorrhage after intervention was significantly reduced in the intervention group compared to the control group. Although the incidence of hematoma in the intervention group decreased from control to 20% to 6.7%, but the statistical test was not significant. Conclusion: According to the results of the present study, the simultaneous sand-ice bag application can reduce post-PCI’ hemorrhage (and hematoma rate, though insignificantly) through compression and vasoconstriction.
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Valikhani et al. (2020) conducted an RCT in Percutaneous coronary intervention (PCI) (n=60). Simultaneous sand-ice bag application vs. Sandbag alone (3 kg) for 4 hours was evaluated on Hemorrhage weight 6-12 hours after sheath removal (stage 4) (p=0.001). Simultaneous application of a sandbag and ice bag significantly reduced post-PCI hemorrhage weight at 6-12 hours compared to a sandbag alone (1.3 g vs 2.3 g, p=0.001), while the reduction in hematoma incidence from 20% to 6.7% was not statistically significant.
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