Abstract
We aimed to develop a hemostatic device with physiological evidence that allows ambulation soon after atrial fibrillation (AF) ablation. We measured right femoral vein pressure in 57 participants to clarify why groin post-venipuncture rebleeding often occurs during the transition from supine to sitting under compression bandage application and found that it increased more than threefold when raising the upper body (8.6 ± 4.1 to 27.6 ± 6.9 mmHg; P < 0.001). Based on that data, we created a novel hemostatic belt. Its capability test including 25 participants demonstrated that the belt gave much higher compression pressures on the right groin while sitting than the compression bandage (59.5 ± 14.9 vs. 8.1 ± 4 mmHg; P < 0.001), achieving pressures above the maximum femoral vein pressure in 92% of participants. A randomized trial comparing the belt with compression bandage in 74 AF patients demonstrated that the belt reduced time to ambulation without any rebleeding (340 [92.5–360] vs. 360 [360–360] min; P < 0.001) and satisfied more patients.
Graphical abstract
The novel hemostatic belt provided a much higher compression pressure on the right groin during the sitting position than the conventional compression bandage, achieving a pressure above the maximum femoral vein pressure in 92% of the participants.
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Change history
29 August 2023
A Correction to this paper has been published: https://doi.org/10.1007/s12265-023-10430-5
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Funding
This work was supported by JMS Co., Ltd (Hiroshima, Japan).
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The original version of this article was revised: In the second sentence under the heading Statistical analysis in the article as originally published, “means+SDs” should have read “means±SDs”.
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Cine radiographs of the right groin during knee lifts in a volunteer. The head of the hemostatic belt (a square X-ray image) is placed on a doughnut-shaped coin firmly attached to the assumed venipuncture site with adhesive tape. Note that the head is firmly immobilized on the coin even with dynamic hip joint movements. Frontal (A) and lateral (B) images are shown (MP4 7998 kb)
(MP4 7790 kb)
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Sairaku, A., Hashimoto, K. & Nakano, Y. A Novel Hemostatic Belt Allowing Ambulation Soon After Atrial Fibrillation Ablation. J. of Cardiovasc. Trans. Res. 16, 1439–1446 (2023). https://doi.org/10.1007/s12265-023-10417-2
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DOI: https://doi.org/10.1007/s12265-023-10417-2