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H J Semler

Publications and source records attributed to H J Semler.

12 recordsLinked to original sources

Transfemoral catheterization: mechanical versus manual control of bleeding.

This study compared hand-held arterial compression with compression by a mechanical clamp to achieve hemostasis following transfemoral catheterization in 3,255 patients from six different hospitals. The time spent in manual compression of the artery averaged 33.5 minutes compared with 19.9 minutes using the clamp. The incidence of hematoma formation using the manual method was 6%; it was 2% using the mechanical device. No ischemic symptoms or complications resulted from the use of the holding device. The results suggest that the mechanical method is an effective and time-saving alternative to manual compression for control of bleeding after transfemoral catheterization.

Catheterization

Abdominal aortic aneurysm: incidence in a population at risk.

One hundred twenty patients aged fifty years and over underwent screening by ultrasound for abdominal aortic aneurysms as part of their routine follow-up visit to a cardiologist. The overall incidence of aneurysm greater than or equal to 4 centimeters in diameter was 5%. In the 84 men with aortas less than 4 centimeters, the average aorta size was 2.4 centimeters. In the 30 women with aortas less than 4 centimeters, the average aorta size was significantly smaller, 1.9 centimeters (p less than .001). It was discovered that men who smoke and have hypertension have a statistically significant increase in aorta size compared to those men without these risk factors (less than .05). The results indicate that the incidence of abdominal aortic aneurysm is probably high enough in this population to justify screening by ultrasound.

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