The Effect of Early Ambulation of Patients on Bleeding and Hematom Via the Femoral Artery in Post Angiography Ward in Ayatollah Moosavy Hospital(Zanjan 2011)

Abstract

Introduction: Coronary angiography is frequently applied for diagnostic purposes in patient with coronary artery disease. There is no consensus about the optimal time for the ambulation on patients following femoral arterial puncture. This study intended to investigate the differences between 6 hours of complete bed rest and 2 hours of complete bed rest for the patients after angiography. Methods: This clinical trial study was performed in 100 patients candidated for coronary angiography. The patients were randomly divided in to experimental and control groups. Primarily, demographic data was filled, and then intervention was done for two groups. The arterial sheath was immediately removed after the procedure. Hemostasis was achieved by manual compression and maintained with sandbags. Early ambulation was performed after two hours of supine bed rest following sheath removal. The incidence of bleeding and hematoma was documented in 24 hours after the procedure. Results: Our findings were indicative of no significant differences between the two groups in terms of gender, age, body mass index, catheter size, total procedure duration, total hemostasis time, history of anticoagulant drag use and coagulation tests before angiography. Conclusion: Ambulation of 2 hours after angiography via the femoral artery is as feasible and safe as that of 6 hours of bed rest. Therefore, an early ambulation protocol can shorten hospital stay without significant vascular complication.

Keywords

• Coronary Angiography
• Early Ambulation
• Bleeding
• Hematoma