Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage
Our aim was to evaluate the safety and effectiveness of the IRIS® bandage (Nephrokit®) on post-puncture bleeding compared to conventional manual compression. Sixty-four patients, hemodialyzed with an arteriovenous fistula, were enrolled in a 3-week prospective study. Conventional manual compression...
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| Veröffentlicht in: | The journal of vascular access 2014-03, Vol.15 (2), p.102-107 |
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| creator | Boulanger, Henri Ahriz-Saksi, Salima Flamant, Martin Vigeral, Philippe |
| description | Our aim was to evaluate the safety and effectiveness of the IRIS® bandage (Nephrokit®) on post-puncture bleeding compared to conventional manual compression.
Sixty-four patients, hemodialyzed with an arteriovenous fistula, were enrolled in a 3-week prospective study. Conventional manual compression was used during the first week, the IRIS® bandage during the second week and conventional manual compression again during the third week. The outcomes analyzed were the persistence or absence of bleeding 3 minutes post-puncture with IRIS® device compared to conventional manual compression. The safety of the IRIS® bandage was also evaluated.
Rates of persistent bleeding 3 minutes post-puncture at arterial sites were 53±6% and 56±5%, respectively, during the first and third weeks (conventional compression) versus 18±5% during the second week (IRIS® bandage). Similarly, rates of persistent bleeding 3 minutes post-puncture at venous sites were 45±6% and 45±6%, respectively, with conventional compression versus 23±5% with the IRIS® bandage. The difference between the IRIS® device and conventional compression therefore proved highly statistically significant (p |
| doi_str_mv | 10.5301/jva.5000176 |
| format | Article |
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Sixty-four patients, hemodialyzed with an arteriovenous fistula, were enrolled in a 3-week prospective study. Conventional manual compression was used during the first week, the IRIS® bandage during the second week and conventional manual compression again during the third week. The outcomes analyzed were the persistence or absence of bleeding 3 minutes post-puncture with IRIS® device compared to conventional manual compression. The safety of the IRIS® bandage was also evaluated.
Rates of persistent bleeding 3 minutes post-puncture at arterial sites were 53±6% and 56±5%, respectively, during the first and third weeks (conventional compression) versus 18±5% during the second week (IRIS® bandage). Similarly, rates of persistent bleeding 3 minutes post-puncture at venous sites were 45±6% and 45±6%, respectively, with conventional compression versus 23±5% with the IRIS® bandage. The difference between the IRIS® device and conventional compression therefore proved highly statistically significant (p<0.05) for both arterial and venous puncture sites. No particular adverse events were observed with the IRIS® device.
Post-puncture bleeding time at arteriovenous fistula sites is significantly shortened by the IRIS® bandage in comparison with conventional manual compression.</description><identifier>ISSN: 1129-7298</identifier><identifier>EISSN: 1724-6032</identifier><identifier>DOI: 10.5301/jva.5000176</identifier><identifier>PMID: 24190071</identifier><language>eng</language><publisher>United States: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arteriovenous Shunt, Surgical - adverse effects ; Bandages ; Bleeding Time ; Equipment Design ; France ; Hemorrhage - etiology ; Hemorrhage - prevention & control ; Hemostatic Techniques - instrumentation ; Humans ; Male ; Middle Aged ; Original ; Pressure ; Prospective Studies ; Punctures ; Renal Dialysis ; Time Factors ; Treatment Outcome ; Young Adult</subject><ispartof>The journal of vascular access, 2014-03, Vol.15 (2), p.102-107</ispartof><rights>2013 The Authors 2013 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-e1a337b26b8886f82fc7c46e6f12e7643681185a3c428c0087dc9d12733f584b3</citedby><cites>FETCH-LOGICAL-c381t-e1a337b26b8886f82fc7c46e6f12e7643681185a3c428c0087dc9d12733f584b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24190071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boulanger, Henri</creatorcontrib><creatorcontrib>Ahriz-Saksi, Salima</creatorcontrib><creatorcontrib>Flamant, Martin</creatorcontrib><creatorcontrib>Vigeral, Philippe</creatorcontrib><title>Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage</title><title>The journal of vascular access</title><addtitle>J Vasc Access</addtitle><description>Our aim was to evaluate the safety and effectiveness of the IRIS® bandage (Nephrokit®) on post-puncture bleeding compared to conventional manual compression.
Sixty-four patients, hemodialyzed with an arteriovenous fistula, were enrolled in a 3-week prospective study. Conventional manual compression was used during the first week, the IRIS® bandage during the second week and conventional manual compression again during the third week. The outcomes analyzed were the persistence or absence of bleeding 3 minutes post-puncture with IRIS® device compared to conventional manual compression. The safety of the IRIS® bandage was also evaluated.
Rates of persistent bleeding 3 minutes post-puncture at arterial sites were 53±6% and 56±5%, respectively, during the first and third weeks (conventional compression) versus 18±5% during the second week (IRIS® bandage). Similarly, rates of persistent bleeding 3 minutes post-puncture at venous sites were 45±6% and 45±6%, respectively, with conventional compression versus 23±5% with the IRIS® bandage. The difference between the IRIS® device and conventional compression therefore proved highly statistically significant (p<0.05) for both arterial and venous puncture sites. No particular adverse events were observed with the IRIS® device.
Post-puncture bleeding time at arteriovenous fistula sites is significantly shortened by the IRIS® bandage in comparison with conventional manual compression.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Bandages</subject><subject>Bleeding Time</subject><subject>Equipment Design</subject><subject>France</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - prevention & control</subject><subject>Hemostatic Techniques - instrumentation</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Pressure</subject><subject>Prospective Studies</subject><subject>Punctures</subject><subject>Renal Dialysis</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1129-7298</issn><issn>1724-6032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkctKxDAUhoMo3lfupUtBqjlJm6QbQcTLgCB4wWVI09Mx0mnGJB3xpXwIn8yKo-jqHPg__nP5CdkDelRyCsfPC3NUUkpBihWyCZIVuaCcrY49sCqXrFIbZCvGZ0pZVUKxTjZYARWlEjbJ4_nCdINJzveZb7O5jymfD71NQ8Cs7hAb10-z5Gb4JZuQMDi_wN4PMWtdTENnYvbq0lM2uZ3cfbxntekbM8UdstaaLuLusm6Th4vz-7Or_PrmcnJ2ep1briDlCIZzWTNRK6VEq1hrpS0EihYYSlFwoQBUabgtmLKUKtnYqgEmOW9LVdR8m5x8-86HeoaNxT4F0-l5cDMT3rQ3Tv9Xevekp36hBZSVgmo0OFgaBP8yYEx65qLFrjM9jkdqKBkv6LiKHNHDb9QGH2PA9ncMUP0VhR6j0MsoRnr_72a_7M_v-ScuqoYq</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Boulanger, Henri</creator><creator>Ahriz-Saksi, Salima</creator><creator>Flamant, Martin</creator><creator>Vigeral, Philippe</creator><general>SAGE Publications</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><scope>5PM</scope></search><sort><creationdate>20140301</creationdate><title>Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage</title><author>Boulanger, Henri ; Ahriz-Saksi, Salima ; Flamant, Martin ; Vigeral, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-e1a337b26b8886f82fc7c46e6f12e7643681185a3c428c0087dc9d12733f584b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Bandages</topic><topic>Bleeding Time</topic><topic>Equipment Design</topic><topic>France</topic><topic>Hemorrhage - etiology</topic><topic>Hemorrhage - prevention & control</topic><topic>Hemostatic Techniques - instrumentation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Pressure</topic><topic>Prospective Studies</topic><topic>Punctures</topic><topic>Renal Dialysis</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boulanger, Henri</creatorcontrib><creatorcontrib>Ahriz-Saksi, Salima</creatorcontrib><creatorcontrib>Flamant, Martin</creatorcontrib><creatorcontrib>Vigeral, Philippe</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of vascular access</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boulanger, Henri</au><au>Ahriz-Saksi, Salima</au><au>Flamant, Martin</au><au>Vigeral, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage</atitle><jtitle>The journal of vascular access</jtitle><addtitle>J Vasc Access</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>15</volume><issue>2</issue><spage>102</spage><epage>107</epage><pages>102-107</pages><issn>1129-7298</issn><eissn>1724-6032</eissn><abstract>Our aim was to evaluate the safety and effectiveness of the IRIS® bandage (Nephrokit®) on post-puncture bleeding compared to conventional manual compression.
Sixty-four patients, hemodialyzed with an arteriovenous fistula, were enrolled in a 3-week prospective study. Conventional manual compression was used during the first week, the IRIS® bandage during the second week and conventional manual compression again during the third week. The outcomes analyzed were the persistence or absence of bleeding 3 minutes post-puncture with IRIS® device compared to conventional manual compression. The safety of the IRIS® bandage was also evaluated.
Rates of persistent bleeding 3 minutes post-puncture at arterial sites were 53±6% and 56±5%, respectively, during the first and third weeks (conventional compression) versus 18±5% during the second week (IRIS® bandage). Similarly, rates of persistent bleeding 3 minutes post-puncture at venous sites were 45±6% and 45±6%, respectively, with conventional compression versus 23±5% with the IRIS® bandage. The difference between the IRIS® device and conventional compression therefore proved highly statistically significant (p<0.05) for both arterial and venous puncture sites. No particular adverse events were observed with the IRIS® device.
Post-puncture bleeding time at arteriovenous fistula sites is significantly shortened by the IRIS® bandage in comparison with conventional manual compression.</abstract><cop>United States</cop><pub>SAGE Publications</pub><pmid>24190071</pmid><doi>10.5301/jva.5000176</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The journal of vascular access, 2014-03, Vol.15 (2), p.102-107 |
| issn | 1129-7298 1724-6032 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adult Aged Aged, 80 and over Arteriovenous Shunt, Surgical - adverse effects Bandages Bleeding Time Equipment Design France Hemorrhage - etiology Hemorrhage - prevention & control Hemostatic Techniques - instrumentation Humans Male Middle Aged Original Pressure Prospective Studies Punctures Renal Dialysis Time Factors Treatment Outcome Young Adult |
| title | Evaluation of post-puncture bleeding time of arteriovenous fistulas with IRIS® bandage |
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