ORIGINAL ARTICLEAmbulation 1 Hour After Diagnostic Cardiac Catheterization: A Prospective Study of 1009 Procedures
Section snippets
PATIENTS AND METHODS
This study was approved by the Mayo Foundation Institutional Review Board. An early ambulation protocol approved by the Division of Cardiovascular Diseases Clinical Practice Committee was evaluated prospectively in a consecutive series of 1005 patients. This group underwent 1009 transfemoral diagnostic cardiac catheterizations in our outpatient cardiac catheterization facility with use of 5F sheaths from January 1, 2004, to August 31, 2005. An adjunctive intravenous heparin bolus (1000-2500
RESULTS
A total of 1050 consecutive diagnostic cardiac catheterization procedures were performed using this protocol during the study period. Forty-one patients who declined to make their medical records available for research were excluded from the study, resulting in a total of 1009 procedures in 1005 unique patients. In-hospital follow-up was complete for all 1009 eligible procedures. The demographic and clinical characteristics of this patient cohort are described in Table 2.
Procedural outcomes and
DISCUSSION
The major finding of the current study is that in a large cohort of 1009 outpatient diagnostic catheterization procedures using 5F vascular access, ambulation 1 hour after sheath removal was safe. Observed minor and major vascular complications rates with this protocol were low, 3.3% and 0.1%, respectively.
CONCLUSIONS
Ambulation 1 hour after outpatient diagnostic 5F cardiac catheterization can be safely performed, with low rates of complications. This approach to managing the access site could significantly improve patient comfort and resource use in this setting.
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