Early Ambulation after Diagnostic Angiography Using 4-F Catheters and Sheaths: A Feasibility Study
| Autor: | Gary P. Siskin, Eric G. Dolen, David Todd, Kyran Dowling, R. Clement Darling, Nancy Mitchell, Steven Quarfordt, Brian F. Stainken, Gail Egan Sansivero |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Radiography MEDLINE 030204 cardiovascular system & hematology Radiography Interventional Catheterization 030218 nuclear medicine & medical imaging law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Patient satisfaction Randomized controlled trial Diagnostic angiography Risk Factors law Early ambulation medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Early Ambulation Aged business.industry Angiography Middle Aged Surgery Clinical trial Patient Satisfaction Feasibility Studies Female Radiology Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of Endovascular Therapy. 9:618-621 |
| ISSN: | 1545-1550 1526-6028 |
| DOI: | 10.1177/152660280200900512 |
| Popis: | Purpose: To assess the feasibility and safety of early ambulation in patients undergoing transfemoral diagnostic angiography using 4-F catheters or sheaths. Methods: In this prospective study approved by the institutional review board, patients undergoing diagnostic angiography were randomized to ambulate 3 or 6 hours after catheter or sheath removal. All patients were assessed for hematoma formation, pseudoaneurysm development, and other groin complications during the in-hospital recovery period and after 30 days. Patient satisfaction and comfort level were also assessed by survey. Results: Of 110 patients (66 men; mean age 64.9 ± 12.8 years) who participated in this study, 47 were randomized to the 6-hour (6-H) group and 63 to the 3-hour (3-H) group. In the 3-H and 6-H groups, respectively, a 4-F catheter was used in 45 (71%) and 35 (74%) patients and a 4-F sheath in 18 (29%) and 12 (26%). No clinically significant groin complications were encountered in either group. Moderate to severe discomfort was reported in 9 (16%) of the 56 patients responding to the discomfort survey in the 3-H group compared to 10 (26%) of the 38 in the 6-H survey respondents. Conclusions: It is feasible and safe to ambulate patients 3 hours after diagnostic angiography performed with a 4-F catheter with or without a 4-F sheath. Early ambulation of patients after angiography has the additional benefits of increasing patient satisfaction and resource utilization. |
| Databáze: | OpenAIRE |
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