G-1260

The effect of ice packs on hematoma prevention in radial artery angiography in patients with acute coronary syndrome.

 Seyed Mahyar Peyman ¹ ℗, Ameneh Yaghoobzadeh ² ©, Mahboubeh Rajabi ³, Amir Almasi ⁴   

 
Abstract

Introduction: Given the high prevalence of cardiovascular diseases in the current century and their emergence as the leading cause of mortality worldwide, early identification of these disorders, as well as preventing complications and related treatments, is essential. Therefore, this study aimed to investigate the effect of ice compression on preventing hematoma in radial artery angiography in patients with acute coronary syndrome. Methods and Materials: The research setting was the specialized and super-specialized Qods Hospital in Arak. In this study, samples were selected through convenience sampling based on inclusion criteria and divided into two groups: the intervention group and the control group. Sixty-one samples were collected in each group. The control group received routine hospital care (elevating the hand that underwent radial angiography). In the intervention group, ice compression with dimensions of 10×5 cm and a weight of 100 grams, wrapped in sterile gauze, was applied for twenty minutes in two stages. The first stage was performed before removing the transparent cuff band, and the second stage was performed immediately after removing the transparent cuff band. Hematoma was assessed immediately after removing the transparent cuff band and every two hours for up to six hours. Additionally, the morning after angiography, hematoma was measured in the samples using the Christensen scale. Data were analyzed using SPSS software version 24. Results: The results showed that from the first moment of removing the transparent cuff band until before the third hour—specifically, the first moment of removing the transparent cuff band (P=0.743), the first two hours after removing the transparent cuff band (P=0.341), and the second two hours after removing the transparent cuff band (P=0.504)—no significant difference was observed between the intervention and control groups. However, in the third two-hour period (P=0.007) and the morning after angiography (P0.001), the effect of ice compression on preventing hematoma was confirmed. Conclusion and Discussion: The results of this intervention demonstrated that the use of ice compression had a significant effect on preventing hematoma after radial artery angiography, leading to a significant reduction and prevention of hematoma in the intervention group. Therefore, given the accessibility, affordability, and safety of ice compression, its use is recommended for patients, healthcare providers, and medical staff.

Keywords: Cardiovascular disease, Hematoma, Ice compression, Radial angiography