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The two patients with bleeding/hematoma in GTET had flap bleeding recognized in the recovery room, which was managed by manual compression over the flap area.
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Advantages of vascular closure device over manual compression include patient comfort, early mobilisation and discharge, avoidance of interruption of anticoagulation, avoidance of local compression and its sequelae and less time constraint on staff.
In a recent meta-analysis in the Journal of the American Medical Association these devices have shown only marginal benefits over manual compression.
Arterial puncture-closing devices (APCDs) have been developed over the past three decades with the hope of avoiding manual compression and of shortening the period of bed rest prescribed after a percutaneous coronary intervention.
The most significant complication is bleeding that requires manual compression.
Presently, safety and feasibility evidence for femoral manual compression is still lacking.
Results: About 5.1% of patients had 1 or more incidents of bleeding requiring manual compression.
Manual compression of the distal biceps eliminated the snapping.
Hemostasis is achieved either by manual compression of the puncture site or by vascular closure devices.
Traditionally, manual compression represented the "gold standard" in achieving haemostasis at an arterial access site.
Manual compression of the axillary artery or surgical access is possible if arterial damage is caused.
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