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From the Heart
August 2018

The Sheath Hold

Author Affiliations
  • 1Columbia University Medical Center, New York, New York
JAMA Cardiol. 2018;3(8):680-681. doi:10.1001/jamacardio.2018.0689

Is there any clinical scenario more exceptionally banal in the world of medicine than the postprocedure sheath hold? It is an act most frequently owned by cardiology, representing one of the least exciting aspects of the field.

Apply pressure. Await hemostasis. Stand awkwardly at the bedside while fully conscious patients nervously watch you bury your hands into their groin.

In the past, when performing a hold, I’ve typically asked the family to leave the room, avoided eye contact, and dutifully carried out the task at hand. But recently I’ve changed my practice.

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