title: Early mobilization following angioplasty.
abstract: OBJECTIVE
  To assess the incidence of puncture site complications in in-patients undergoing early mobilization following angioplasty with a view to performing day case angioplasty.
  
  
  METHODS
  One hundred and twenty-eight patients undergoing peripheral and renal angioplasty using a sheath size of up to 6 French were recruited prospectively. The mobilization protocol consisted of supine bed rest for 2 h, followed by gradual mobilization, so that the patient was ambulant 4 h after the procedure. Mobilization was delayed if clinically appropriate. Puncture sites were scored for discomfort, paraesthesia, visible bruising and palpable haematoma after groin compression and the following morning.
  
  
  RESULTS
  One hundred and forty-four puncture sites were studied. There were 44 haematomas in total, of which 37 (26%) were less than 2.5 cm and seven (4.9%) were between 2.5 cm and 7.5 cm. Four patients (2.8%) had visible bruising greater than 7.5 cm. No patient assessed discomfort higher than moderate at any stage. Mobilization was delayed in 15 patients. In 11 this was due to puncture site oozing, haematoma in one, two were hypertensive and one required surgery for limb ischaemia. All complications occurred within 4 h of angioplasty. No patient required surgery or transfusion for haemorrhagic complications.
  
  
  CONCLUSIONS
  Mobilization at 4 h was successful in 90% of cases but 10% require more prolonged bed rest. No delayed complications occurred. These results suggest that day case angioplasty is feasible in most cases.Butterfield, J. S. (2000). Clinical Radiology55, 874-877
authors.affiliation: South Manchester University Hospitals, N.H.S. Trust, Nell Lane, West Didsbury, Machester, UK
authors.forename: J S
authors.initials: JS
authors.lastname: Butterfield
authors.forename: J B
authors.initials: JB
authors.lastname: Fitzgerald
authors.forename: R
authors.initials: R
authors.lastname: Razzaq
authors.forename: C J
authors.initials: CJ
authors.lastname: Willard
authors.forename: R J
authors.initials: RJ
authors.lastname: Ashleigh
authors.forename: R E
authors.initials: RE
authors.lastname: England
authors.forename: N
authors.initials: N
authors.lastname: Chalmers
authors.forename: H M
authors.initials: HM
authors.lastname: Andrew
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000009:adverse effects*; D003288:Contusions / Q000209:etiology; D004434:Early Ambulation / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications; D011446:Prospective Studies; D011677:Punctures