| Early ambulation after diagnostic angiography using 4-f catheters and sheaths: a feasibility study. | |
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MedLine Citation:
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PMID: 12431146 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Kyran Dowling; David Todd; Gary Siskin; Brian Stainken; Eric Dolen; Gail Sansivero; Steven Quarfordt; Nancy Mitchell; R Clement Darling |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 9 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-11-14 Completed Date: 2003-04-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 618-21 Citation Subset: IM |
Affiliation:
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Institute for Vascular Health and Disease, Albany Medical College, Albany, New York 12208, USA. dowlink@mail.amc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography / adverse effects* Catheterization / adverse effects* Early Ambulation / adverse effects* Feasibility Studies Female Follow-Up Studies Humans Male Middle Aged Patient Satisfaction Postoperative Complications* Prospective Studies Radiography, Interventional / adverse effects* Risk Factors Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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