Vaso-vagal reactions during femoral arterial sheath removal after percutaneous coronary intervention and impact on cardiac events

Juergens, C.; Lo, S.; French, John K.; Leung, Dominic Y.

doi:10.1016/j.ijcard.2007.02.059

Cited by 12 publications

(15 citation statements)

References 6 publications

(12 reference statements)

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“…Although there was little paper about the vaso-vagal reflex among paediatric patients with cardiac catheterization, it was the fundamental information to study and develop nursing practice guidelines based on the evidence vasovagal reflex in paediatric patients with cardiac catheterization for the future research [6,8].…”

Section: Discussionmentioning

confidence: 99%

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Vaso-vagal reflex in paediatric patients with cardiac catheterization: Integrative literature review

Kraisornsawat¹,

Usahawong²,

Salapsri³

2017

Interventional-Cardiology

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Vaso-vagal reflex is a significant and common complication in paediatric patients with cardiac catheterization. Vaso-vagal reflex includes several symptoms, such as tachycardia, pressure, light headedness, nausea, or cyanosis that are severe threats to cause death. To understand the vaso-vagal reflex among paediatric patients with cardiac catheterization, we conducted integrative literature to review content about nursing with the reflex. We reviewed, analysed, and synthesized published research and grey literature between 2006 and 2016. Results were found that there were 9 papers related to vaso-vagal reflex among paediatric patients with cardiac catheterization. Overall, content about vaso-vagal reflex in paediatric patients with cardiac catheterization included three aspects. First, it was assessment of disorders and complications. Because paediatric patients with cardiac catheterization experienced changes in emotional and behavioural signs, nurses should concern and focus on these changes. Second, it was nursing to prevent irregularities and complications. Nurses need to care of the paediatric patients to reduce the pain, reducing anxiety and reducing fear. Lastly, it focuses on nursing after disorders and complications. Nurses care of the patients to get drugs or fluids to cause nausea and vomiting. Moreover, they nurse the patients with Trendelenburg position to prevent vaso-vagal reflex. Although there was little paper about the vaso-vagal reflex among paediatric patients with cardiac catheterization, it was the fundamental information to study and develop nursing practice guidelines based on the evidence vaso-vagal reflex in paediatric patients with cardiac catheterization for the future research.

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Section: Discussionmentioning

confidence: 99%

“…1) Evaluation of disorders and complications; 2) nursing care for the prevention of disorders and complications; 3) nursing for disorders and complications [7,8].…”

Section: Characteristic Aspects Of Educationmentioning

confidence: 99%

Vaso-vagal reflex in paediatric patients with cardiac catheterization: Integrative literature review

Kraisornsawat¹,

Usahawong²,

Salapsri³

2017

Interventional-Cardiology

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“…The most frequent complication was the vasovagal reaction (2.34%), which has been described as a major cardiac event in 3 to 6% of the cases (syncope), and transient reversible bradycardia in 4 to 7%. [16][17][18][19] Bradycardia occurs during femoral arterial puncture and removal of the femoral sheath, caused by pain and manipulation of the femoral artery. We did not use an allergic preparation for diagnostic or therapeutic angiographic examinations because of the low incidence of anaphylactic shock (0.07%).…”

Section: Discussionmentioning

confidence: 99%

Endovascular Neurosurgery in the Northern Macro- region of Rio Grande do Sul: Part I

Vanzin¹,

Azambuja²,

Frighetto³

et al. 2016

Arq Bras Neurocir

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Introduction The city of Passo Fundo, in the north of the Rio Grande do Sul state, has been standing out in the health care field for many years. The state has become a reference in endovascular interventional neuroradiology. We will cover 10 years of experience in this area and divide our observations in 3 parts: cerebral angiograms (part I), carotid angioplasties (part II) and intracranial aneurysms (part III). The goal of part I is to statistically assess the cerebral angiograms, their indications, risks and complications, as well as to do a technical review. Materials and Methods A retrospective study from 2005 to 2015 with a total of 5,567 interventional neuroradiology procedures performed. A total of 4,114 angiograms, 639 embolizations of intracranial aneurysms, 414 carotid angioplasties, 143 embolizations of cerebral arteriovenous malformations, 32 embolizations of dural arteriovenous fistulas, 102 cerebral vasospasm treatments, 21 treatments of epistaxis, 36 embolizations of craniocervical tumor, 25 thrombolysis of ischemic stroke, 18 vertebroplasties and 13 embolizations of arteriovenous malformations of the face. Results A total of 4,084 procedures performed, 21,811 vessels studied, average vase 7.62/2.82 vessel and patient/procedure. Of these, 2,536 were diagnostic procedures and 1,548 angiographic controls. Of the total, 1,188 patients received only an angiogram, 27.14% of which were therapeutic procedures. We obtained a total of 3.89% complications: 2.33% reflection vasovagal, 0.56% allergic skin reaction, anaphylactic shock 0.07%, 0.27% femoral hematoma, 0.26% transient neurological deficit, 0.12% permanent neurological deficit and no case of death. Conclusion Cerebral angiography in adults, children and infants is a safe procedure with low risk of permanent neurological complications.

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“…As reações vasovagais, outra das complicações analisadas neste estudo, ocorrem em 3,4% a 13,9% dos procedimentos coronários percutâneos, e fatores como presença de dor, lesão tecidual e estados emocionais alterados têm sido identificados como predisponentes 10 . O mal-estar gerado pelo decúbito dorsal e pela imobilidade, associado a dificuldade de micção, desconforto pélvico e ansiedade, são preditores da ocorrência da reação vasovagal durante a retirada da bainha arterial pós-intervenção coronária percutânea, e a redução do tempo de repouso nesse cenário pode reduzir essa complicação.…”

Section: Discussionunclassified

Repouso de três horas não aumenta complicações após cateterismo cardíaco diagnóstico com introdutor arterial 6 F: ensaio clínico randomizado

Rocha

Aliti²,

Moraes³

et al. 2009

Rev. Bras. Cardiol. Invasiva

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18 anos, de ambos os sexos, excluindo-se pacientes em uso de anticoagulantes, com obesidade mórbida, e história de discrasias sanguíneas, doenças da aorta ou com hipertensão arterial grave não-controlada. Os pacientes foram divididos em grupo intervenção, que deambulou três horas após remoção da bainha, e grupo controle, que deambulou seis horas após repouso no leito. Todos foram monitorados, a cada hora, pela equipe de enfermagem, e 24, 48 e 72 horas após a alta hospitalar, por meio de contato telefônico. RESULTADOS: No total, foram incluídos 406 pacientes (200 no grupo intervenção e 206 no grupo controle), com média de idade de 64 ± 9,4 anos, 47,3% do sexo feminino e 17% de diabéticos. Sangramento ocorreu em 1 (0,5%) caso no grupo intervenção e em 4 (1,9%) no grupo controle; ocorreram 3 (1,5%) casos de hematoma no grupo intervenção e 4 (1,9%), no grupo controle; 4 (2%) pacientes apresentaram reação vasovagal no grupo intervenção e 7 (3,4%), no grupo controle. Não houve diferença entre os grupos para qualquer das comparações. Conclusões: A redução do tempo de repouso para três horas não aumentou as complicações nos pacientes que realizaram cateterismo cardíaco diagnóstico com introdutor arterial 6 F, mostrando-se segura quando comparada ao repouso de seis horas.]]>

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Vaso-vagal reactions during femoral arterial sheath removal after percutaneous coronary intervention and impact on cardiac events

Cited by 12 publications

References 6 publications

Vaso-vagal reflex in paediatric patients with cardiac catheterization: Integrative literature review

Vaso-vagal reflex in paediatric patients with cardiac catheterization: Integrative literature review

Endovascular Neurosurgery in the Northern Macro- region of Rio Grande do Sul: Part I

Repouso de três horas não aumenta complicações após cateterismo cardíaco diagnóstico com introdutor arterial 6 F: ensaio clínico randomizado

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