Early ambulation after diagnostic heart catheterization

The general recommended strategy after arterial invasive procedures is a 4- to 6-hour bed rest that is associated with patient discomfort and increased medical costs. We hypothesized that mobilization of selected patients at the second hour would not increase vascular complications. Coronary angiogr...

Full description

Saved in:
Bibliographic Details
Published inAngiology Vol. 58; no. 6; p. 743
Main Authors Boztosun, Bilal, Günes, Yilmaz, Yildiz, Ahmet, Bulut, Mustafa, Saglam, Mustafa, Kargin, Ramazan, Kirma, Cevat
Format Journal Article
LanguageEnglish
Published United States 01.12.2007
Subjects
Adult
Aged
Bandages
Cardiac Catheterization - adverse effects
Coronary Angiography - adverse effects
Early Ambulation - adverse effects
Feasibility Studies
Female
Femoral Artery
Heart Diseases - diagnostic imaging
Hematoma - etiology
Hemorrhage - etiology
Hemorrhage - prevention & control
Hemostatic Techniques
Humans
Male
Middle Aged
Pressure
Punctures - adverse effects
Time Factors
Online AccessGet more information

Cover

More Information
Summary:The general recommended strategy after arterial invasive procedures is a 4- to 6-hour bed rest that is associated with patient discomfort and increased medical costs. We hypothesized that mobilization of selected patients at the second hour would not increase vascular complications. Coronary angiography was performed through the femoral route via 6-Fr catheters. Homeostasis was achieved by manual compression and maintained with a compressive bandage. A total of 1,446 patients were ambulated at the second hour and 1,226 of them were discharged without complication. A total of 220 patients required further follow-up due to blood oozing; 154 patients were conventionally ambulated due to difficult arterial access, longer (>15 minutes) compression time, hematoma formation within 2 hours, or hypertensive state (blood pressure >180/100 mm Hg). Twenty-five (16%) of those patients developed minor bleeding after ambulation. No major bleeding or large hematoma was observed during in-hospital observation. Ecchymosis (10% [2-hour group] vs 21% [4-5 hour group]) and small hematomas (22% vs 9%) were the most frequent complications after discharge. Early mobilization of selected patients undergoing diagnostic heart catheterization through the femoral artery via 6-Fr catheters is safe and associated with acceptable bleeding complication rates.
ISSN:0003-3197
DOI:10.1177/0003319707308890