Document Detail


Early ambulation after diagnostic angiography using 4-f catheters and sheaths: a feasibility study.
MedLine Citation:
PMID:  12431146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
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:
Created Date:  2002-11-14     Completed Date:  2003-04-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  618-21     Citation Subset:  IM    
Affiliation:
Institute for Vascular Health and Disease, Albany Medical College, Albany, New York 12208, USA. dowlink@mail.amc.edu
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MeSH Terms
Descriptor/Qualifier:
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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