Following cardiac catheterization via the femoral approach current practice has been the application of direct manual pressure to secure initial hemostasis. Afterwards, continued pressure on either the femoral artery or vein has been maintained using adhesive-elastic bandages and/or sandbags. Skin irritation, abrasions, and tape allergy, all compound the discomfort associated with the application and removal of the adhesive dressing. Although increasing
pressure, it is difficult to maintain sandbags in a stable position over the puncture site.
HOLD represents a device uniquely designed to obviate these problems. Pressure is maintained over the area of femoral puncture for as long as is clinically desired. No extensive skin preparation is required, and no adhesive is applied to the patient. The Hemostatic Occlusive Leverage Device (HOLD) maintains constant pressure due to the force applied via an elasticized groin strap, and maintained in position by a pelvic apron. The device is easily applied and removed without any patient discomfort.
