Turk Kardiyol Dern Ars. 2007; 35(4): 227-230
Early ambulation after percutaneous coronary interventions
, Yılmaz Güneş2
, Ayhan Olcay3
, Ahmet Yıldız1
, Mustafa Sağlam1
, Mustafa Bulut1
, Ramazan Kargın11
Kartal Kosuyolu Heart Education And Research Hospital, Department Of Cardiology, Istanbul2
Medical Park Hospital, Cardiology Department, Istanbul3
Medicana Hospitals Avcilar, Department Of Cardiology, Istanbul
OBJECTIVES Early ambulation after coronary interventions may reduce in-hospital stay and add to the patients comfort. This approach, however, may increase the risk for puncture site-related complications. We evaluated the safety of early ambulation after elective coronary stenting or angioplasty.
STUDY DESIGN The study included 342 patients (212 males, 130 females; mean age 53±14 years) undergoing elective coronary stenting or angioplasty using a 6-F guiding catheter through the femoral artery and a standard dose of heparin 5,000 IU. Arterial sheath was removed immediately after the procedure. Homeostasis was achieved by manual compression and maintained with a compressive bandage. Subcutaneous low-molecular-weight heparin was administered one hour after sheath removal. Ambulation was allowed two hours after bed rest. Inguinal complications were recorded during a week follow-up.
RESULTS Bleeding occurred during ambulation in eight patients (2.3%). No hematoma developed after ambulation during hospital stay. Ecchymosis was the most frequent delayed complication (n=32, 9.4%). Late bleeding was observed in three patients (0.9%) and managed by compression and bed rest. Small hematomas, 1 to 2 cm in diameter, were noted in nine patients (2.6%). A large hematoma requiring blood transfusion and surgical intervention developed in a patient (0.3%) who was obese and had uncontrolled hypertension.
CONCLUSION Early ambulation after coronary interventions using a 6-F sheath through the femoral route and low-dose procedural heparin and subcutaneous low-molecular-weight heparin one hour after sheath removal is associated with an acceptable rate of insertion site complications.
Angioplasty, transluminal, percutaneous coronary, coronary disease; early ambulation; stents; time factors
How to cite this article
Bilal Boztosun, Yılmaz Güneş, Ayhan Olcay, Ahmet Yıldız, Mustafa Sağlam, Mustafa Bulut, Ramazan Kargın. Early ambulation after percutaneous coronary interventions. Turk Kardiyol Dern Ars. 2007; 35(4): 227-230
Corresponding Author: Bilal Boztosun, Türkiye