| Materials > Index > Tool details |
| Stepty®P hemostasis device | ||
| Purpose | Effective and comfortable hemostasis following transradial puncture. However, this device was not designed for prolonged 6F radial artery cannulation and is therefore not (yet) officially approved for this purpose. | |
| Description | The
Stepty®P consists of a pad of non woven cloth of piled
cotton and rayon fiber and a layer of foam polyethylene.
This 15x27 mm pad (9mm thick) is covered by a plate and
an adhesive backing layer of 40x120 mm, consisting of
elastic polyurethane. Immediately after removal of the 6F sheath from the radial artery, the Stepty®P is applied. By stretching of the backing, compression by the pad is increased. Following a minimal application time of 6 hrs, the device is removed, followed by sterile dressing of the puncture site. |
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| Investigator | F. Kiemeneij. ADIC-OLVG Amsterdam. The Netherlands | |
| Results | Following 21 transradial procedures, hemostasis was effectively achieved in 18 pts (86%) with a single Stepty®P. In 17 pts the device was placed within ˝ to 1 minute (81%). In 3 pts additional dressing was required because of misplacement by the doctor (n=2) and because no hemostasis could be obtained (n=1). In all pts, hemostasis was effectively established during the time of application (6.6 hr). In 1 patient the Stepty®P was inadequately repositioned because of discomfort, for which an additional compression bandage was required. Patients scored discomfort during application on 1.8 (scale 1-10) and after removal on 1.1. The comfort of Stepty®P was judged by the patient on 8,2 (scale 1-10; 10 is best). | |
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| Ordernumber | --- | |
| Status | NOT YET COMMERCIALLY AVAILABLE FOR TRANSRADIAL CORONARY PROCEDURES | |
| Comments | The Stepty®P is easy to apply after 6F sheath removal from the radial artery and saves labour of medical and nursing staff. Hemostasis is effectively established. The device is well tolerated and is positively judged by the patient. | |