Prospective series of two hours supine rest after 4fr sheath-based diagnostic cerebral angiography: Outcomes, productivity and cost
There is no standard of care for catheter size or post-procedure supine time in cerebral angiography. Catheter sizes range from 4-Fr to 6-Fr with supine times ranging from two to over six hours. The objective of our study was to establish the efficacy, safety, and cost savings of two-hour supine tim...
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Published in | Interventional neuroradiology Vol. 21; no. 1; pp. 114 - 119 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.02.2015
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Subjects | |
Online Access | Get full text |
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Summary: | There is no standard of care for catheter size or post-procedure supine time in
cerebral angiography. Catheter sizes range from 4-Fr to 6-Fr with supine times
ranging from two to over six hours. The objective of our study was to establish
the efficacy, safety, and cost savings of two-hour supine time after 4-Fr
elective cerebral angiography. A prospective, single arm study was performed on
107 patients undergoing elective cerebral angiography. All cerebral angiograms
were performed with a 4-Fr sheath-based system without closure devices. Ten
minutes of manual compression was applied to the femoral access site, with
further compression held as clinically indicated. Patients were then monitored
in a nursing unit for two hours supine and subsequently mobilized. Nursing
discretion was allowed for earlier mobilization. Patients were called the next
day to assess delayed hematoma and bleeding. Estimates of cost savings and
productivity increases are provided. All patients ambulated in two hours or
less. There were no strokes or vessel dissections. Five patients (4.7%)
experienced a palpable hematoma, three patients (2.8%) experienced bleeding
immediately following the procedure requiring further compression, and one
patient (0.9%) experienced minor groin oozing at home. No patient required
transfusion, thrombin injection, or endovascular/surgical management of a groin
complication. A two-hour post-procedure supine time resulted in cost savings of
$952 per angiogram and a total of $101,864. 4-Fr sheath based cerebral
angiography with two-hour post-procedure supine time is safe and effective, and
allows for a considerable increase in patient satisfaction, cost savings and
productivity. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1591-0199 2385-2011 |
DOI: | 10.15274/INR-2014-10102 |