What is the typical duration of manual compression after femoral arterial sheath removal?

• A. 10–20 minutes
• B. 15–30 minutes
• C. 30–60 minutes
• D. 5–10 minutes

Answer: (B)

After removing a femoral arterial sheath, manual compression is used to seal the puncture site and allow the tract to form a stable clot. The duration is chosen to balance achieving hemostasis with minimizing time under pressure. For routine procedures with standard sheath sizes and typical anticoagulation, about 15 to 30 minutes of compression is common. This window is long enough for the arterial puncture to seal without excessive bleeding, while also reducing the chance of hematoma or pseudoaneurysm. If a larger sheath was used or substantial anticoagulation was given, the needed compression time can extend toward the higher end or longer. Conversely, using a vascular closure device or smaller sheaths can shorten the required time. After hemostasis, confirm good distal perfusion and monitor for any signs of bleeding or hematoma.