Immediate mobilization after coronary angiography or percutaneous coronary intervention following hemostasis with the AngioSeal vascular closure device (the MOBS study)

European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Ellen Nyholm LarsenLisette Okkels Jensen

Abstract

In patients undergoing coronary angiography or percutaneous coronary intervention (PCI), the standard post procedure regime includes immobilization and bed rest despite the use of vascular closure devices. In the Mobilization after Coronary Angiography or Percutaneous Coronary Intervention (MOBS) study we compared bleeding complications after cardiac catheterization with femoral artery access after mobilization immediately off the angiographic table or standard care with1 hour (MOBS I after a diagnostic angiogram) or 2 hours of bed rest before mobilization (MOBS II after PCI). Bleeding complications were defined as major (requiring surgery of the femoral artery, transfusion or increased hospital stay) and minor (hematoma <5 × 5 cm(2), oozing from the puncture site or minor bleeding that could be compressed manually). In the MOBS I cohort (100 patients were mobilized immediately and 100 patients followed standard care) no major bleeding complications were seen. In the immediate mobilization group 2.0% experienced minor bleeding compared to 4.0% in the standard care group (p=0.41). In the MOBS II cohort after PCI (158 patients were mobilized immediately and 161 patients followed standard care), major bleeding complication rates d...Continue Reading

References

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Mar 28, 2013·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Birthe SindbergJens Flensted Lassen

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Citations

Jun 14, 2015·Techniques in Vascular and Interventional Radiology·Venkatesh P KrishnasamyShawn N Sarin
Oct 9, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Verena SchelpDerk Frank
Feb 16, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M AksoyH Kobeiter
Apr 3, 2019·Journal of Clinical Nursing·Vinicius Batista SantosAlba Lucia Bottura Leite de Barros

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Methods Mentioned

BETA
coronary artery bypass

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