Early Ambulation after Diagnostic Angiography Using 4-F Catheters and Sheaths: A Feasibility Study

Dowling, Kyran; Todd, David W.; Siskin, Gary; Stainken, Brian F.; Dolen, Eric G.; Sansivero, Gail Egan; Quarfordt, S; Mitchell, Nathan; Darling, R. Clement

doi:10.1177/152660280200900512

Cited by 12 publications

(26 citation statements)

References 6 publications

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“…There were also studies which used a combination of manual compression with a mechanical compression clamp, 18,19,22,37 compression clamp devices only, 31,34 sandbags or gauze pressure dressings only 11,32 . Two trials did not mention the methods of haemostasis used 17,33 . None of the trials indicated that they used any form of vascular closure devices.…”

Section: Discussionmentioning

confidence: 99%

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

Fernandez

Lui

Lopez

et al. 2008

International Journal of Evidence-Based Healthcare

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Background Cardiac catheterisation plays a vital role in the diagnosis and evaluation of cardiac conditions. The goal of management of patients after cardiac catheterisation is to reduce the risk of development of any local or prolonged vascular complications, in particular bleeding and haematoma formation at the puncture site. Bed rest and immobilisation of the affected leg are recommended practices to ensure adequate haemostasis at the femoral arterial puncture site and prevent complications. Objectives The objective of this review was to present the best available evidence for the optimal length of bed rest after trans-femoral diagnostic cardiac catheterisation. The main outcome of interest was the incidence of bleeding and haematoma formation following varying periods of bed rest. Search strategy We searched the following databases: CINAHL, Medline, Cochrane Library, Current Contents, EBSCO, Web of Science, Embase, British Nursing Index, Controlled clinical trials database, Google Scholar. Reference lists of relevant articles and conference proceedings were searched. We also contacted key organisations and researchers in the field. Selection criteria All randomised and quasi-randomised controlled trials that compared the effects of different lengths of bed rest following trans-femoral diagnostic cardiac catheterisation on patient outcomes were considered for inclusion in the review. Data collection and analysis Eligibility of the trials for inclusion in the review, details of eligible trials and the methodological quality of the trials were assessed independently by two reviewers. Odds ratios (OR) for dichotomous data and a weighted mean difference for continuous data were calculated with 95% confidence intervals (CI). Where synthesis was inappropriate, trials were considered separately. Main results Eighteen trials involving a total of 4294 participants were included in the review. One trial included three treatment groups. In seven trials among 747 people there was no significant difference in the incidence of bleeding following six or less than 6 h of bed rest (OR 1.47; 95% CI 0.60, 3.64). Likewise, there was no significant difference in the incidence of bleeding following bed rest at other time periods. In eight trials involving 2272 patients there was no significant difference in the incidence of haematoma formation following 6 or less than 6 h of bed rest (OR 0.82; 95% CI 0.59, 1.16). Significantly fewer patients randomised to less than 6 h of bed rest complained of back pain. The odds of developing back pain at 4 (OR 24.60; 95% CI 1.29, 469) and 24 h (OR 2.47; 95% CI 1.16, 5.23) following coronary catheterisation was significantly higher among patients randomised to 6 compared with 3 h of bed rest. Authors' conclusions There is evidence of no benefit relating to bleeding and haematoma formation in patients who have more than 3 h of bed rest following trans-femoral diagnostic cardiac catheterisation. However, there is evidence of benefit relating to decreased incidence and severity of back pain a...

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Section: Discussionmentioning

confidence: 99%

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

Fernandez

Lui

Lopez

et al. 2008

International Journal of Evidence-Based Healthcare

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“…Published recumbent times range from 1 to 6 hours after use of 4-F catheters (3,20). The necessary time to remain in a flat position after an arterial procedure varies from institution to institution and is a confounding factor in determining the significance of early ambulation after percutaneous closure.…”

Section: Patient Ambulation and Comfortmentioning

confidence: 99%

“…There is some evidence that patients undergoing hepatic artery chemoembolization as well as UAE are in hypercoagulable states for as long as 24 hours after the procedure (31,32). Four-F catheters are de rigeur for diagnostic studies in many interventional and cardiology catheterization laboratories (3,20,(37)(38)(39). Do these agents predispose patients to thrombotic events after percutaneous closure?…”

Section: What Questions Are Unanswered?mentioning

confidence: 99%

“…At least 30% among more than 500,000 femoral accesses per year in the United States are managed with either a suture-mediated or collagen-based closure device (3,4). At least 30% among more than 500,000 femoral accesses per year in the United States are managed with either a suture-mediated or collagen-based closure device (3,4).…”

mentioning

confidence: 99%

“…Patients prefer less recumbent time and those who have undergone both manual compression and suture-mediated closure favor the latter option by a large margin (3,8). Physicians or their assistants are freed from the drudgery of manual compression and are able to treat other patients.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Current Status of Suture-mediated Closure: What Is the Cost of Comfort?

Brown

2003

Journal of Vascular and Interventional Radiology

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Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know—Part I: Standard Post-procedural Instructions and Follow-Up Care

Taslakian

Sridhar

2017

Cardiovasc Intervent Radiol

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Interventional radiology (IR) has evolved into a full-fledged clinical specialty with attendant patient care responsibilities. Success in IR now requires development of a full clinical practice, including consultations, inpatient admitting privileges, and an outpatient clinic. In addition to technical excellence and innovation, maintaining a comprehensive practice is imperative for interventional radiologists to compete successfully for patients and referral bases. A structured approach to periprocedural care, including routine follow-up and early identification and management of complications, facilitates efficient and thorough management with an emphasis on quality and patient safety.

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Early Ambulation after Diagnostic Angiography Using 4-F Catheters and Sheaths: A Feasibility Study

Abstract: 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.

Cited by 12 publications

References 6 publications

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterisation

Current Status of Suture-mediated Closure: What Is the Cost of Comfort?

Post-procedural Care in Interventional Radiology: What Every Interventional Radiologist Should Know—Part I: Standard Post-procedural Instructions and Follow-Up Care

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