Abstract
Background: The role of the nurse in caring for a femoral artery access in percutaneous coronary intervention contributes significantly to the success rate of the procedure and reduces complications. Compared to the traditional hemostatic pressure bandage method, using the specialized Perclose femoral artery closure kit brings safety and high efficiency to patients.
Objective: Describe the results of care for the femoral artery access route closed with the Perclose device in patients undergoing percutaneous coronary intervention at the Vietnam National Heart Institute – Bach Mai Hospital in 2023.
Subjects and methods: Prospective descriptive study was conducted on 89 patients undergoing percutaneous coronary intervention with femoral artery access and vessel closure using the Perclose instrument at the Vietnam National Heart Institute – Bach Mai Hospital from March to October, 2023.
Results: When closing vessels with the specialized Perclose kit, most patients only experience non-dangerous complications such as minor bleeding (28.1%), minor bleeding 6.7% and hematoma. <5cm is 1.1%..Furthermore, when closing the vessels with the Perclose device, the patient can exercise and walk soon so their mental health is mostly good and stable.
Conclusion: Closing the femoral artery access with the Perclose device has mild complications and a low rate. Vascular access care has many advantages compared to traditional compression bandages and only has difficulty when the vessel is closed unsuccessfully.