What affects bleeding control and how long you need to lie flat after femoral arterial sheath removal
Preliminary Exploration of Factors Affecting Complete Hemostasis and Supine Time After Removal of Femoral Arterial Sheath in ICU Patients
We will see if patient and procedure factors can predict how long ICU patients need compression and bed rest after femoral arterial sheath removal to prevent bleeding and hematoma.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 157 (estimated) |
| Ages | 20 Years and up |
| Sex | All |
| Sponsor | National Taiwan University Hospital Academic / other |
| Locations | 1 site (Taipei) |
| Trial ID | NCT07469397 on ClinicalTrials.gov |
What this trial studies
This is an observational study enrolling adult patients in the cardiac intensive care unit who undergo femoral arterial sheath removal. Investigators will use direct inspection at the bedside and review medical records to collect clinical, procedural, and laboratory variables (for example anticoagulation status, sheath size, procedure type, and initial hemostasis time). They will analyze which factors are associated with failure of initial hemostasis, hematoma formation, and the required duration of compression and supine time. The goal is to develop more accurate, evidence-based guidance on how long to maintain compression and bed rest to reduce complications and patient discomfort.
Who should consider this trial
Good fit: Ideal candidates are adults (age ≥20) admitted to the cardiac ICU who undergo femoral arterial sheath removal and can tolerate lying flat with standard restraints.
Not a fit: Patients with active severe hematoma, vascular rupture at the puncture site, severe disseminated intravascular coagulation, or those unable or unwilling to remain supine with restraints are unlikely to benefit.
Why it matters
Potential benefit: If successful, the findings could shorten unnecessary bed rest and reduce pain, urinary problems, and bleeding-related complications after sheath removal.
How similar studies have performed: Previous research on predictors of post‑sheath bleeding and optimal supine time is limited and inconsistent, so this approach is not yet well established.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients admitted to the cardiac intensive care unit of this hospital. 2. Patients undergoing femoral arterial sheath removal. 3. Age 20 years or older. Exclusion Criteria: 1. Patients unable to maintain supine position or refusing physical restraints. 2. Patients with severe hematoma, vascular rupture, or other vascular complications present at the femoral arterial puncture site at the time of sheath insertion. 3. Patients with a diagnosis of severe disseminated intravascular coagulation (DIC).
Where this trial is running
Taipei
- National Taiwan University Hospital — Taipei, Taiwan (Recruiting)
Study contacts
- Study coordinator: Pou Yun Wang
- Email: unique201001@gmail.com
- Phone: 0965729268
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.