Document Detail


Day-case peripheral angioplasty using nurse-led admission, discharge, and follow-up procedures: arterial closure devices are not necessary.
MedLine Citation:
PMID:  17981169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To audit the safety of day-case peripheral arterial intervention without the use of arterial-closure devices using nurse-led admission, discharge, and follow-up procedures. MATERIALS AND METHODS: Patients referred for elective, peripheral vascular intervention were selected for day-case care according to pre-determined criteria using telephone triage. Post-procedure haemostasis was achieved using manual compression. After 3h bed-rest, patients were mobilized and discharged at 5h. Patients were contacted by telephone next working day to audit complications. RESULTS: One hundred and eighty-three elective day-case peripheral interventions were performed over 2 years, predominantly using 6 F sheaths. No closure devices were used. Five patients (2%) returned to the department because of persistent groin symptoms the next day. One of these had a false aneurysm. Four required no further treatment. A single patient returned at day 6 with a delayed false aneurysm. CONCLUSION: Day-case peripheral vascular intervention can be safely performed in appropriately selected patients without the use of arterial closure devices. Specialist radiology nurses have a major role in the counselling, care, and follow-up of these patients.
Authors:
R Kasthuri; D Karunaratne; H Andrew; J Sumner; N Chalmers
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Publication Detail:
Type:  Journal Article     Date:  2007-09-07
Journal Detail:
Title:  Clinical radiology     Volume:  62     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-05     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1202-5     Citation Subset:  IM    
Affiliation:
Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aneurysm, False / etiology
Angioplasty / adverse effects,  nursing*
Female
Femoral Artery / surgery*
Humans
Informed Consent
Male
Medical Audit
Middle Aged
Patient Admission
Patient Discharge
Patient Satisfaction
Peripheral Vascular Diseases / nursing,  surgery*
Prospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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