Premium
Randomized comparison of rapid ambulation using radial, 4 French femoral access, or femoral access with AngioSeal closure
Author(s) -
Reddy Bhagat K.,
Brewster Pamela S.,
Walsh Thomas,
Burket Mark W.,
Thomas William J.,
Cooper Christopher J.
Publication year - 2004
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20027
Subject(s) - medicine , cardiac catheterization , catheter , femoral artery , randomized controlled trial , closure (psychology) , surgery , cardiology , economics , market economy
Radial access and closure devices are associated with improved quality of life (QOL) after cardiac catheterization. Whether this is related to the access site or time to ambulation is unknown. Seventy‐five patients undergoing cardiac catheterization were randomized to femoral 6 Fr with AngioSeal closure (F+C), femoral 4 Fr without closure, and radial (R) access. All patients were ambulated at 1 hr. QOL was measured utilizing visual analogue scales and Short Form‐36 at baseline, 1 day, and 1 week. Time to ambulation and discharge were equivalent, as was postprocedure QOL. However, angiographic quality was lower in the 4 Fr group ( P < 0.0001) and catheterization costs were higher in the F+C group ( P < 0.0001). Ambulation 1 hr after catheterization can be accomplished utilizing radial, femoral 6 Fr with closure device, or femoral 4 Fr access with equivalent outcomes and QOL. However, this is achieved at a higher cost with a closure device, or lesser angiographic quality with 4 Fr catheters. Catheter Cardiovasc Interv 2004;62:143–149. © 2004 Wiley‐Liss, Inc.