Groin Dressing After Cardiac Catheterization. Compari-
son Between Light Dressing with Thin Transparent Tape
(Tegaderm®) and Conventional Tight /Pressure Dressing
with an Elastic Adhesive Bandage (Tensoplast®)
SARANA BOONBAICHAIY APRUCK, M.D., F.S.C.A.I., F.A.C.C. *,
PISIT HUTA YANON, M.D.*,
PAKORN CHANTHANAMATTA, M.D.*,
THONGTHIP DUMRONGWATANA, R.N.*,
NONGRAK INTARAYOTHA, R.N.*,
VANADEE KRISDEE*,
SUKIT YAMVONG, M.D.*
Affiliation : *Cardiac Catheterization and Intervention Services, Faculty of Medicine, Ramathibodi Hospital, Mahidol University,
Bangkok 10400, Thailand.
t The work received 200 Prize for Young Investigator Award at the 3200 Annual Scientific Session of the Thai Heart
Association of Thailand on February 18,2000 at the Siam Intercontinental Hotel, Bangkok.
AbstractPost cardiac catheterization puncture site care is usually done with a tight pressure dressing
by an elastic adhesive bandage (Tensoplast®) due to the belief that it should prevent bleeding. The
practice is uncomfortable to the patients. The authors compared a new way of dressing using light
transparent tape (Tegaderm®) to the conventional tight pressure one. 126 post coronary angiography
patients were randomized to have their groins dressed either with Tensoplast® or with Tegaderm®.
Patients ambulated 8 hours after the procedures. The groin was evaluated for pain, discomfort and
bleeding complications. 49 per cent in the Tensoplast® vs 26.9 per cent in the Tegaderm® group expe-
rienced pain (p value of 0.01 ). 55.5 per cent in the Tensoplast® group vs 11.1 per cent in the Tegaderm®
group reported discomfort. 4.7 per cent in the Tensoplast® vs 1.6 per cent in the Tegaderm® group
developed bleeding or hematoma. Dressing of the puncture site after cardiac catheterization with
Tegaderm® was more comfortable than the conventional Tensoplast® without any difference in
bleeding complications.
Keywords : Groin Dressing, Post Cardiac Catheterization Puncture Site Care
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