Posted: August 16th, 2017

Which of the following methods to induce hemostasis after sheath removal post Percutaneous Transluminal Coronary Angioplasty is the least effective?

Which of the following methods to induce hemostasis after sheath removal post Percutaneous Transluminal Coronary Angioplasty is the least effective?
a) Application of a sandbag to the area
Several nursing interventions frequently used as part of the standard of care, such as applying a sandbag to the sheath insertion site, have not been shown to be effective in reducing the incidence of bleeding.
b) Application of a vascular closure device, such as AngiosealTM, VasosealTM, DuettTM, Syvek patchTM
Application of a vascular closure device has been demonstrated to be very effective.
c) Direct manual pressure
Direct manual pressure to the sheath introduction site has been demonstrated to beeffective and was the first method used to induce hemostasis post PTCA.
d) Application of a pneumatic compression device (e.g., Fem-StopTM)
Application of a pneumatic compression device post PTCA has been demonstrated to beeffective.