Complication Management and Prevention in Vascular and non-vascular Interventions

Weiss, Daniel; Wilms, Lena Marie; Ivan, Vivien Lorena; Vach, Marius; Loberg, Christina; Ziayee, Farid; Kirchner, Julian; Schimmöller, Lars; Antoch, Gerald; Minko, Peter

doi:10.1055/a-1829-6055

Cited by 1 publication

(1 citation statement)

References 31 publications

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“…Firstly, our study enrolled patients who planned to undergo diagnostic transfemoral angiography without intervention. Previous studies reported a higher complication rate in patients who undergo intervention, due to increased catheter and prolonged surgery time [ 21 ]. Therefore, our findings cannot be generalized to patients undergoing intervention.…”

Section: Discussionmentioning

confidence: 99%

Early ambulation protocol after diagnostic transfemoral cerebral angiography: an evidence-based practice project

Liang,

Ye,

Song

et al. 2024

BMC Neurol

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Background No uniform consensus has been achieved regarding the ambulation protocol after transfemoral cerebral angiography (TFA). Until now, in most hospitals patients are prescribed 8-12 h strict immobilization along with bed rest in the supine position after TFA in China, which causes great discomfort to patients. Objective To evaluate the effect of an evidence-based early ambulation protocol on the prevention of vascular complications and general discomfort in patients following transfemoral cerebral angiography (TFA). Methods A prospective quasi-experimental study was conducted on 214 patients undergoing TFA with manual compression. Patients in the experimental group were placed supine position for 2 h with a sandbag placed on the wound dressing, followed by a semi-seated position for another 2 h. After this period, patients took 2 h bed rest (move freely) with the sandbag removed, and were allowed to get out of bed 6 h after TFA. Patients in the control group were restricted to an 8 h bed rest in a supine position with the affected leg straight and immobilized. The vascular complications (bleeding, hematoma, ecchymosis) and levels of comfort (low back pain, leg pain, and blood pressure) were evaluated after the procedure. Numeric Rating Scale (NRS) pain scores, systolic blood pressure (SBP); diastolic blood pressure (DBP) were measured hourly for 8 h after TFA. Results There was no significant difference in the two groups with regard to vascular complications including bleeding events (P = 0.621), bleeding volume (P = 0.321), and area of hematoma (P = 0.156). The area of ecchymosis in the experimental group was significantly smaller than the control group (P = 0.031). Compared with the control group, the NRS score for low back pain in the 4th, 5th, 6th, 7th, and 8th hour after TFA were significantly lower (P < 0.05), and the NRS score for leg pain in the 5th, 6th, 7th, 8th hour after TFA were significantly lower (P < 0.05). The SBP and DBP in the 6th, 7th, and 8th hour after TFA were significantly lower than the control group (all P < 0.05). Conclusions The evidence-based early ambulation protocol can effectively and safely increase comfort and decrease the pain level for patients undergoing TFA, without change in the incidence of vascular complications.

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Section: Discussionmentioning

confidence: 99%