Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation
Background:The incidence of hematoma formation following implantation of a cardiovascular implantable electronic device (CIED) is estimated to be 5% even if a pressure dressing is applied. It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, t...
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| Veröffentlicht in: | Circulation Journal 2015/07/24, Vol.79(8), pp.1727-1732 |
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| creator | Kiuchi, Kunihiko Okajima, Katsunori Tanaka, Naoko Yamamoto, Yoko Sakai, Nahoko Kanda, Gaku Shimane, Akira Yokoi, Kiminobu Teranishi, Jin Aoki, Kousuke Chimura, Misato Kono, Shingo Takahashi, Yuu Matsuyama, Sonoko Tsubata, Hideo Miyata, Taishi Matsuoka, Yuki Toba, Takayoshi Ohishi, Shogo Sawada, Takahiro Tsukishiro, Yasue Onishi, Tetsuari Kobayashi, Seiichi Moriya, Fumie Takai, Hiromi Yamada, Shinichiro Taniguchi, Yasuyo Yasaka, Yoshinori Kawai, Hiroya |
| description | Background:The incidence of hematoma formation following implantation of a cardiovascular implantable electronic device (CIED) is estimated to be 5% even if a pressure dressing is applied. It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, the adhesive tape for fixing pressure dressings can tear the skin. We developed a new compression tool for preventing hematomas and skin erosions.Methods and Results:We divided 46 consecutive patients receiving anticoagulation therapy who underwent CIED implantation into 2 groups (Group I: conventional pressure dressing, Group II: new compression tool). The pressure on the pocket was measured in both the supine and standing positions. The incidence of hematomas was compared between the 2 groups. The pressure differed between the supine and standing positions in Group I, but not in Group II (Group I: 14.8±7.1 mmHg vs. 11.3±9.9 mmHg, P=0.013; Group II: 13.5±2.8 mmHg vs. 13.5±3.5 mmHg, P=0.99). The incidence of hematomas and skin erosions was documented in 2 (8.7%) and 3 (13%) Group I patients, respectively. No complications were documented in Group II.Conclusions:The new compression tool can provide adequate continuous pressure on the pocket, regardless of body position. This device may reduce the incidence of hematomas and skin erosions after CIED implantation. (Circ J 2015; 79: 1727–1732) |
| doi_str_mv | 10.1253/circj.CJ-15-0341 |
| format | Article |
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It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, the adhesive tape for fixing pressure dressings can tear the skin. We developed a new compression tool for preventing hematomas and skin erosions.Methods and Results:We divided 46 consecutive patients receiving anticoagulation therapy who underwent CIED implantation into 2 groups (Group I: conventional pressure dressing, Group II: new compression tool). The pressure on the pocket was measured in both the supine and standing positions. The incidence of hematomas was compared between the 2 groups. The pressure differed between the supine and standing positions in Group I, but not in Group II (Group I: 14.8±7.1 mmHg vs. 11.3±9.9 mmHg, P=0.013; Group II: 13.5±2.8 mmHg vs. 13.5±3.5 mmHg, P=0.99). The incidence of hematomas and skin erosions was documented in 2 (8.7%) and 3 (13%) Group I patients, respectively. No complications were documented in Group II.Conclusions:The new compression tool can provide adequate continuous pressure on the pocket, regardless of body position. This device may reduce the incidence of hematomas and skin erosions after CIED implantation. (Circ J 2015; 79: 1727–1732)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-15-0341</identifier><identifier>PMID: 25993904</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Anticoagulation therapy ; Compression Bandages ; Defibrillators, Implantable ; Device implantation ; Female ; Hematoma - prevention & control ; Hematomas ; Humans ; Male ; Skin Diseases - prevention & control ; Skin erosions</subject><ispartof>Circulation Journal, 2015/07/24, Vol.79(8), pp.1727-1732</ispartof><rights>2015 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-7639961e1c4b1c4e81dd98d9f3173f9209140cce4138dfadaea598c19f4076c03</citedby><cites>FETCH-LOGICAL-c622t-7639961e1c4b1c4e81dd98d9f3173f9209140cce4138dfadaea598c19f4076c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25993904$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kiuchi, Kunihiko</creatorcontrib><creatorcontrib>Okajima, Katsunori</creatorcontrib><creatorcontrib>Tanaka, Naoko</creatorcontrib><creatorcontrib>Yamamoto, Yoko</creatorcontrib><creatorcontrib>Sakai, Nahoko</creatorcontrib><creatorcontrib>Kanda, Gaku</creatorcontrib><creatorcontrib>Shimane, Akira</creatorcontrib><creatorcontrib>Yokoi, Kiminobu</creatorcontrib><creatorcontrib>Teranishi, Jin</creatorcontrib><creatorcontrib>Aoki, Kousuke</creatorcontrib><creatorcontrib>Chimura, Misato</creatorcontrib><creatorcontrib>Kono, Shingo</creatorcontrib><creatorcontrib>Takahashi, Yuu</creatorcontrib><creatorcontrib>Matsuyama, Sonoko</creatorcontrib><creatorcontrib>Tsubata, Hideo</creatorcontrib><creatorcontrib>Miyata, Taishi</creatorcontrib><creatorcontrib>Matsuoka, Yuki</creatorcontrib><creatorcontrib>Toba, Takayoshi</creatorcontrib><creatorcontrib>Ohishi, Shogo</creatorcontrib><creatorcontrib>Sawada, Takahiro</creatorcontrib><creatorcontrib>Tsukishiro, Yasue</creatorcontrib><creatorcontrib>Onishi, Tetsuari</creatorcontrib><creatorcontrib>Kobayashi, Seiichi</creatorcontrib><creatorcontrib>Moriya, Fumie</creatorcontrib><creatorcontrib>Takai, Hiromi</creatorcontrib><creatorcontrib>Yamada, Shinichiro</creatorcontrib><creatorcontrib>Taniguchi, Yasuyo</creatorcontrib><creatorcontrib>Yasaka, Yoshinori</creatorcontrib><creatorcontrib>Kawai, Hiroya</creatorcontrib><title>Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:The incidence of hematoma formation following implantation of a cardiovascular implantable electronic device (CIED) is estimated to be 5% even if a pressure dressing is applied. It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, the adhesive tape for fixing pressure dressings can tear the skin. We developed a new compression tool for preventing hematomas and skin erosions.Methods and Results:We divided 46 consecutive patients receiving anticoagulation therapy who underwent CIED implantation into 2 groups (Group I: conventional pressure dressing, Group II: new compression tool). The pressure on the pocket was measured in both the supine and standing positions. The incidence of hematomas was compared between the 2 groups. The pressure differed between the supine and standing positions in Group I, but not in Group II (Group I: 14.8±7.1 mmHg vs. 11.3±9.9 mmHg, P=0.013; Group II: 13.5±2.8 mmHg vs. 13.5±3.5 mmHg, P=0.99). The incidence of hematomas and skin erosions was documented in 2 (8.7%) and 3 (13%) Group I patients, respectively. No complications were documented in Group II.Conclusions:The new compression tool can provide adequate continuous pressure on the pocket, regardless of body position. This device may reduce the incidence of hematomas and skin erosions after CIED implantation. (Circ J 2015; 79: 1727–1732)</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anticoagulation therapy</subject><subject>Compression Bandages</subject><subject>Defibrillators, Implantable</subject><subject>Device implantation</subject><subject>Female</subject><subject>Hematoma - prevention & control</subject><subject>Hematomas</subject><subject>Humans</subject><subject>Male</subject><subject>Skin Diseases - prevention & control</subject><subject>Skin erosions</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtLxDAQxoMovu-eJEcv1UyTPuYo9Y2ooOIxxHSqXdtmTbIL_vd23VUP84D5zcfHx9gBiGNIM3liW28nx9VNAlkipII1tg1SFYkqU7H-s-cJlkpusZ0QJkKkKDLcZFtphihRqG32cufm1PHK9VNPIbRu4E_OdTw6_uBpTkPkV9Sb6HoTuBlq_vjRDvzcuwUa-GkTyfMzmreW-HU_7cwQTRxPe2yjMV2g_dXcZc8X50_VVXJ7f3ldnd4mNk_TmBS5RMyBwKrXsaiEusayxkZCIRtMBYIS1pICWdaNqQ2ZDEsL2ChR5FbIXXa01J169zmjEHXfBkvdaITcLGjIERVmgDCiYona0X3w1Oipb3vjvzQIvYhT_8SpqxsNmV7EOb4crtRnrz3Vfw-_-Y3AxRKYhGje6A8wPra2o5VigbpctH_lf-DdeE2D_AZdnIsi</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Kiuchi, Kunihiko</creator><creator>Okajima, Katsunori</creator><creator>Tanaka, Naoko</creator><creator>Yamamoto, Yoko</creator><creator>Sakai, Nahoko</creator><creator>Kanda, Gaku</creator><creator>Shimane, Akira</creator><creator>Yokoi, Kiminobu</creator><creator>Teranishi, Jin</creator><creator>Aoki, Kousuke</creator><creator>Chimura, Misato</creator><creator>Kono, Shingo</creator><creator>Takahashi, Yuu</creator><creator>Matsuyama, Sonoko</creator><creator>Tsubata, Hideo</creator><creator>Miyata, Taishi</creator><creator>Matsuoka, Yuki</creator><creator>Toba, Takayoshi</creator><creator>Ohishi, Shogo</creator><creator>Sawada, Takahiro</creator><creator>Tsukishiro, Yasue</creator><creator>Onishi, Tetsuari</creator><creator>Kobayashi, Seiichi</creator><creator>Moriya, Fumie</creator><creator>Takai, Hiromi</creator><creator>Yamada, Shinichiro</creator><creator>Taniguchi, Yasuyo</creator><creator>Yasaka, Yoshinori</creator><creator>Kawai, Hiroya</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2015</creationdate><title>Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation</title><author>Kiuchi, Kunihiko ; Okajima, Katsunori ; Tanaka, Naoko ; Yamamoto, Yoko ; Sakai, Nahoko ; Kanda, Gaku ; Shimane, Akira ; Yokoi, Kiminobu ; Teranishi, Jin ; Aoki, Kousuke ; Chimura, Misato ; Kono, Shingo ; Takahashi, Yuu ; Matsuyama, Sonoko ; Tsubata, Hideo ; Miyata, Taishi ; Matsuoka, Yuki ; Toba, Takayoshi ; Ohishi, Shogo ; Sawada, Takahiro ; Tsukishiro, Yasue ; Onishi, Tetsuari ; Kobayashi, Seiichi ; Moriya, Fumie ; Takai, Hiromi ; Yamada, Shinichiro ; Taniguchi, Yasuyo ; Yasaka, Yoshinori ; Kawai, Hiroya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-7639961e1c4b1c4e81dd98d9f3173f9209140cce4138dfadaea598c19f4076c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anticoagulation therapy</topic><topic>Compression Bandages</topic><topic>Defibrillators, Implantable</topic><topic>Device implantation</topic><topic>Female</topic><topic>Hematoma - prevention & control</topic><topic>Hematomas</topic><topic>Humans</topic><topic>Male</topic><topic>Skin Diseases - prevention & control</topic><topic>Skin erosions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kiuchi, Kunihiko</creatorcontrib><creatorcontrib>Okajima, Katsunori</creatorcontrib><creatorcontrib>Tanaka, Naoko</creatorcontrib><creatorcontrib>Yamamoto, Yoko</creatorcontrib><creatorcontrib>Sakai, Nahoko</creatorcontrib><creatorcontrib>Kanda, Gaku</creatorcontrib><creatorcontrib>Shimane, Akira</creatorcontrib><creatorcontrib>Yokoi, Kiminobu</creatorcontrib><creatorcontrib>Teranishi, Jin</creatorcontrib><creatorcontrib>Aoki, Kousuke</creatorcontrib><creatorcontrib>Chimura, Misato</creatorcontrib><creatorcontrib>Kono, Shingo</creatorcontrib><creatorcontrib>Takahashi, Yuu</creatorcontrib><creatorcontrib>Matsuyama, Sonoko</creatorcontrib><creatorcontrib>Tsubata, Hideo</creatorcontrib><creatorcontrib>Miyata, Taishi</creatorcontrib><creatorcontrib>Matsuoka, Yuki</creatorcontrib><creatorcontrib>Toba, Takayoshi</creatorcontrib><creatorcontrib>Ohishi, Shogo</creatorcontrib><creatorcontrib>Sawada, Takahiro</creatorcontrib><creatorcontrib>Tsukishiro, Yasue</creatorcontrib><creatorcontrib>Onishi, Tetsuari</creatorcontrib><creatorcontrib>Kobayashi, Seiichi</creatorcontrib><creatorcontrib>Moriya, Fumie</creatorcontrib><creatorcontrib>Takai, Hiromi</creatorcontrib><creatorcontrib>Yamada, Shinichiro</creatorcontrib><creatorcontrib>Taniguchi, Yasuyo</creatorcontrib><creatorcontrib>Yasaka, Yoshinori</creatorcontrib><creatorcontrib>Kawai, Hiroya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kiuchi, Kunihiko</au><au>Okajima, Katsunori</au><au>Tanaka, Naoko</au><au>Yamamoto, Yoko</au><au>Sakai, Nahoko</au><au>Kanda, Gaku</au><au>Shimane, Akira</au><au>Yokoi, Kiminobu</au><au>Teranishi, Jin</au><au>Aoki, Kousuke</au><au>Chimura, Misato</au><au>Kono, Shingo</au><au>Takahashi, Yuu</au><au>Matsuyama, Sonoko</au><au>Tsubata, Hideo</au><au>Miyata, Taishi</au><au>Matsuoka, Yuki</au><au>Toba, Takayoshi</au><au>Ohishi, Shogo</au><au>Sawada, Takahiro</au><au>Tsukishiro, Yasue</au><au>Onishi, Tetsuari</au><au>Kobayashi, Seiichi</au><au>Moriya, Fumie</au><au>Takai, Hiromi</au><au>Yamada, Shinichiro</au><au>Taniguchi, Yasuyo</au><au>Yasaka, Yoshinori</au><au>Kawai, Hiroya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2015</date><risdate>2015</risdate><volume>79</volume><issue>8</issue><spage>1727</spage><epage>1732</epage><pages>1727-1732</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background:The incidence of hematoma formation following implantation of a cardiovascular implantable electronic device (CIED) is estimated to be 5% even if a pressure dressing is applied. It is unclear whether a pressure dressing can really compress the pocket in different positions. Furthermore, the adhesive tape for fixing pressure dressings can tear the skin. We developed a new compression tool for preventing hematomas and skin erosions.Methods and Results:We divided 46 consecutive patients receiving anticoagulation therapy who underwent CIED implantation into 2 groups (Group I: conventional pressure dressing, Group II: new compression tool). The pressure on the pocket was measured in both the supine and standing positions. The incidence of hematomas was compared between the 2 groups. The pressure differed between the supine and standing positions in Group I, but not in Group II (Group I: 14.8±7.1 mmHg vs. 11.3±9.9 mmHg, P=0.013; Group II: 13.5±2.8 mmHg vs. 13.5±3.5 mmHg, P=0.99). The incidence of hematomas and skin erosions was documented in 2 (8.7%) and 3 (13%) Group I patients, respectively. No complications were documented in Group II.Conclusions:The new compression tool can provide adequate continuous pressure on the pocket, regardless of body position. This device may reduce the incidence of hematomas and skin erosions after CIED implantation. (Circ J 2015; 79: 1727–1732)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>25993904</pmid><doi>10.1253/circj.CJ-15-0341</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Anticoagulation therapy Compression Bandages Defibrillators, Implantable Device implantation Female Hematoma - prevention & control Hematomas Humans Male Skin Diseases - prevention & control Skin erosions |
| title | Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation |
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