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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

Abstract

Purpose

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.

Results

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.

Conclusion

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

Keywords

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

Notes

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.

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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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