Hemostatic Effect of the Homemade Femoral Artery Compression Device and Manual Compression on the Femoral Artery After ECMO Weaning
CAO Chengwei
GE Chang
HUANG Jiaxin
LI Jianchao
Abstract：Objective To investigate the hemostatic effect of homemade femoral artery compression device(HFACD)after extracorporeal membrane oxygenation(ECMO)weaning.Methods Patients who successfully weaning ECMO treated Fuwai Central China Cardiovascular Hospital from January to July 2023 were selected as study subjects and randomly assigned to HFACD group and manual compression(MC)group according to a ratio of 1∶1.Primary endpoint indexes were hemostasis time,ECMO weaning time,secondary compression.Secondary endpoints were the number of complications,including haematoma at the puncture site,bleeding,poor wound healing,pseudoaneurysm,and arteriovenous fistula.Results A total of 117 patients(HFACD 58 cases,MC 59 cases)were included in this study with similar baseline characteristics in both groups.The hemostasis time and ECMO weaning time in the HFACD group were lower than those in the MC group(P＜0.001).There was no statistically significant difference in overall complications and specific complications(hematoma,hemorrhage,pseudoaneurysm,arteriovenous fistula,poor wound healing)between the two groups(P＞0.05).In the subgroup analysis,the hemostasis time and ECMO weaning time were shorter in the HFACD group than in the MC group,and the differences were statistically significant(P＜0.05).Conclusion The HFACD can shorten the hemostasis time and ECMO weaning time,and effectively achieve hemostasis in patients with ECMO weaning.Compared with MC,there is a trend towards a lower incidence of weaning complications in the HFACD group.Although the incidence of complications in the HFACD group was generally lower numerically than that in the MC group,the difference was not statistically significant,which might be related to the smaller sample size.To further verify the difference,it is necessary to expand the sample size or conduct a multicenter study to improve the statistical power.
Keywords：homemade artery compression devicemanual compressionfemoral artery extubationextracorporeal membrane oxygenationhemostasis
Publication Date：2025-07-13
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 2378-2382 )