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July 11, 2018The Professional Medical JournalOpen Access

Femoral Vascular Complications

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Key result

A short bed rest of 3 hours after femoral coronary angiography did not significantly increase the frequency of puncture site complications compared to the standard 6 hours of bed rest.

Why the study?

Does 3 hours of bed rest compared to 6 hours prevent vascular complications in patients undergoing femoral coronary angiography?

Population

100 patients undergoing femoral coronary angiography, mean age ~51, 75% male, at a single center in Pakistan.

Comparison

3 hours of bed rest after femoral coronary… vs 6 hours of bed rest after femoral coronary…

Design

RCT, Randomized into two equal groups by lottery method.

Follow-up

Up to 1 week.

Authors

MYMuhammad YasirMAMunir AhmadLALiaqat Ali

Discussion

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Overview

Supports shorter bed rest after femoral angiography for faster recovery; confirms safety versus standard duration in RCT.

Study Design

Type

RCT (n=100)

Blinding

Open-label

Randomization

Lottery method

Multicenter

No

Structured PICO

Does 3 hours of bed rest compared to 6 hours prevent vascular complications in patients undergoing femoral coronary angiography?

P
Population
100 patients undergoing elective femoral coronary angiography were randomized to 3 hours versus 6 hours of bed rest to evaluate puncture site complications.
I
Intervention
3 hours of bed rest after femoral coronary angiography (sheath removed immediately, 15 minutes manual pressure).
C
Comparator
6 hours of bed rest after femoral coronary angiography (routine care).
O
Outcome
Frequency of vascular complications (bleeding, small hematoma <5x5 cm, or large hematoma >5x5 cm) before and after ambulation.safety

Main Result

Absolute Event Rate: 2% vs 2%

p-value: p=0.66

A short bed rest of 3 hours after femoral coronary angiography is safe and does not increase the frequency of puncture site complications compared to the standard 6 hours of rest.

Limitations

  • Small sample size
  • Single-center study
  • Did not measure patient comfort objectively
  • Did not measure patient's comfort objectively

Cite This Study

Yasir et al. (2018) conducted an RCT in Coronary artery disease undergoing elective femoral coronary angiography (n=100). 3 hours of bed rest vs. 6 hours of bed rest was evaluated on Post-ambulation bleeding (p=0.66). A short bed rest of 3 hours after femoral coronary angiography did not significantly increase the frequency of puncture site complications compared to the standard 6 hours of bed rest.

synapsesocial.com/papers/6a9c8d768bd8b951b3d4df2ahttps://doi.org/10.29309/tpmj/18.4879
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1FEMORAL VASCULAR COMPLICATIONS2018
  2. 2Evaluation of nursing care after diagnostic coronary angiography2001 · 29 citations
  3. 3The Effect of Early Mobilisation for Patient Undergoing Coronary Angiography; A Pilot Study with Focus on Vascular Complications and Back Pain2010 · 34 citations
  4. 4Reducing time in bed after cardiac catheterization (TIBS II)1996 · 36 citations
  5. 5Comparison of Complications in Percutaneous Coronary Intervention Patients Mobilized at 3, 4, and 6 Hours After Femoral Arterial Sheath Removal2008 · 22 citations