CardioVascular and Interventional Radiology

, Volume 38, Issue 1, pp 40–44 | Cite as

Prospective Evaluation of the Optimal Duration of Bed Rest After Vascular Interventions Using a 3-French Introducer Sheath

  • Takeshi AramakiEmail author
  • Michihisa Moriguchi
  • Emima Bekku
  • Masahiro Endo
  • Koiku Asakura
  • Narikazu Boku
  • Kenichi Yoshimura
Clinical Investigation



To assess optimal bed-rest duration after vascular intervention by way of the common femoral artery using 3F introducer sheaths.

Materials and Methods

Eligibility criteria for this single-center, prospective study included clinically necessary angiography, no coagulopathy or anticoagulant therapy, no hypersensitivity to contrast medium, age >20 years, and written, informed consent. Enrolled patients were assigned to one of three groups (105/group) with the duration of bed rest deceased sequentially. A sheath was inserted by way of the common femoral artery using the Seldinger technique. The first group (level 1) received 3 h of bed rest after the vascular intervention. If no bleeding or hematomas developed, the next group (level 2) received 2.5 h of bed rest. If still no bleeding or hematomas developed, the final group (level 3) received 2 h of bed rest. If any patient had bleeding or hematomas after bed rest, the study was terminated, and the bed rest of the preceding level was considered the optimal duration.


A total of 105 patients were enrolled at level 1 between November 2010 and September 2011. Eight patients were excluded from analysis because cessation of bed rest was delayed. None of the remaining subjects experienced postoperative bleeding; therefore, patient enrollment at level 2 began in September 2011. However, puncture site bleeding occurred in the 52nd patient immediately after cessation of bed rest, necessitating study termination.


To prevent bleeding, at least 3 h of postoperative bed rest is recommended for patients undergoing angiography using 3F sheaths.


Bed rest duration 3-French introducer sheath Non-coronary intervention 


Conflict of interest

Takeshi Aramaki, Michihisa Moriguchi, Emima Bekku, Masahiro Endo, Koiku Asakura, Narikazu Boku and Kenichi Yoshimura do not have any conflict of interest or financial disclosures.


  1. 1.
    Ishiyama K, Hashimoto M, Tate E, Omachi K, Sakuma I, Hirano Y et al (2002) Feasibility of early ambulation 3 h after transfemoral angiography using a 4 French sheath. Nihon Igaku Hoshasen Gakkai Zasshi 62:362–365 (in Japanese)PubMedGoogle Scholar
  2. 2.
    Tagney J, Lackie D (2005) Bed-rest post-femoral arterial sheath removal—What is safe practice? A clinical audit. Nurs Crit Care 10:167–173PubMedCrossRefGoogle Scholar
  3. 3.
    Mohammady M, Heidari K, Akbari Sari A, Zolfaghari M, Janani L (2014) Early ambulation after diagnostic transfemoral catheterization: A systematic review and meta-analysis. Int J Nurs Stud 51:39–50PubMedCrossRefGoogle Scholar
  4. 4.
    Lau KW, Tan A, Koh TH, Koo CC, Quek S, Ng A et al (1993) Early ambulation following diagnostic 7-F cardiac catheterization: a prospective randomized trial. Cathet Cardiovasc Diagn 28:34–38PubMedCrossRefGoogle Scholar
  5. 5.
    Wood RA, Lewis BK, Harber DR, Kovack PJ, Bates ER, Stomel RJ (1997) Early ambulation following 6 French diagnostic left heart catheterization: a prospective randomized trial. Cathet Cardiovasc Diagn 42:8–10PubMedCrossRefGoogle Scholar
  6. 6.
    Kern MJ, Cohen M, Talley JD, Litvack F, Serota H, Aquirre F et al (1990) Early ambulation after 5 French diagnostic cardiac catheterization: results of a multicenter trial. J Am Coll Cardiol 15:1475–1483PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014

Authors and Affiliations

  • Takeshi Aramaki
    • 1
    Email author
  • Michihisa Moriguchi
    • 1
  • Emima Bekku
    • 1
  • Masahiro Endo
    • 2
  • Koiku Asakura
    • 2
  • Narikazu Boku
    • 3
    • 4
  • Kenichi Yoshimura
    • 5
  1. 1.Division of Interventional RadiologyShizuoka Cancer CenterShizuokaJapan
  2. 2.Division of Diagnostic RadiologyShizuoka Cancer CenterShizuokaJapan
  3. 3.Division of Medical OncologyShizuoka Cancer CenterShizuokaJapan
  4. 4.Department of Medical OncologySt. Marianna University School of MedicineKawasaki CityJapan
  5. 5.Center for Clinical ResearchKobe University HospitalKobeJapan

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