Elastic Bandaging for Hemostasis after Percutaenous Transluminal Angioplasty (PTA)
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After the procedure, it is necessary to adequately compress the punctured artery for one hour.
After the 1st hour, loosen the bandage slightly by unwrapping 1~2 circles.
After the 2nd hour, loosen the bandage again slightly still unwrapping 1~2 circles.
Repeat the process every 30 minutes.
If bleeding is found during the loosening process, rewrap the elastic bandage until there is no more active bleeding. If there is no further bleeding after 20 minutes, continue to loosening process.
The elastic bandage may be completely removed after having had successfully loosened the bandage 3 times in two hours without bleeding or a growing blood clot beneath the skin. Check that there is no further bleeding for 10 minutes after the elastic bandage has been removed then cover with sterile gauze.
Do not to perform strenuous activity or overstretch the limb six hours after PTA. Only slight wrist movement or slight bending of the knee and ankle is allowed.
After discharge, keep the wound clean and dry and check for wound bleeding or hematoma/blood clot underneath the skin. Try ice packing to ease any swelling or discomfort.
Return to the hospital or call if there are signs of poor limb circulation (fingers or toes on the punctured limb turning blue or grey or have severe numbness) Chi Mei Hospital Emergency Department Tel：（06）2812811-57161.