Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Arrhythmia/Electrophysiology
Novel Compression Tool to Prevent Hematomas and Skin Erosions After Device Implantation
Kunihiko Kiuchi, Katsunori Okajima, Naoko Tanaka, Yoko Yamamoto, Nahoko Sakai, Gaku Kanda, Akira Shimane, Kiminobu Yokoi, Jin Teranishi, Kousuke Aoki, Misato Chimura, Shingo Kono, Yuu Takahashi, Sonoko Matsuyama, Hideo Tsubata, Taishi Miyata, Yuki Matsuoka, Takayoshi Toba, Shogo Ohishi, Takahiro Sawada, Yasue Tsukishiro, Tetsuari Onishi, Seiichi Kobayashi, Fumie Moriya, Hiromi Takai, Shinichiro Yamada, Yasuyo Taniguchi, Yoshinori Yasaka, Hiroya Kawai
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Keywords: Anticoagulation therapy, Device implantation, Hematomas, Skin erosions
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2015 Volume 79 Issue 8 Pages 1727-1732

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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)

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© 2015 THE JAPANESE CIRCULATION SOCIETY
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