Early ambulation after coronary angioplasty and stenting with six French guiding catheters and low-dose heparin.
The safety and feasibility of early ambulation was evaluated prospectively in 907 patients undergoing elective coronary angioplasty and stenting with the use of 6Fr guiding catheters, low-dose heparin (5,000 IU), and immediate postprocedural sheath removal by comparing ambulation after 4 hours with immobilization for at least 12 hours. Because no excess in puncture site complications (2.3% vs 2.2%) could be demonstrated after 4-hour ambulation, it is concluded that early ambulation after 6Fr guiding catheter angioplasty by the femoral route with low-dose heparin is feasible, safe, and may facilitate a shorter hospital stay.
Koch
K T
KT
Department of Cardiology, Academic Medical Center, University of Amsterdam, The Netherlands.
Piek
J J
JJ
de Winter
R J
RJ
Mulder
K
K
David
G K
GK
Lie
K I
KI
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D002404:Catheterization / Q000295:instrumentation*; D004434:Early Ambulation / Q000009:adverse effects*; D005069:Evaluation Studies as Topic; D005260:Female; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology; D011446:Prospective Studies; D015607:Stents
D006493:Heparin