2.50
Hdl Handle:
http://hdl.handle.net/10755/152726
Type:
Presentation
Title:
Predictors of Femoral Artery Complications: Reality or Fiction?
Abstract:
Predictors of Femoral Artery Complications: Reality or Fiction?
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Morley, Margaret A., RN, MSN, CNS/ANP-C
P.I. Institution Name:Hoag Hospital
Title:Cardiology CNS/NP
OBJECTIVE: To find conclusive evidence that supports predictive indicators of femoral artery entry site complications post-percutaneous puncture. Entry site complications were defined as: (1) Hematoma resulting in anemia that required transfusion. (2) Femoral artery pseudoaneurysm. (3) Retroperitoneal bleed. DESIGN: Retrospective and prospective descriptive study. POPULATION: All patients undergoing cardiac angiography from 2001-2003 at a California community hospital. OUTCOME VARIABLES: (1) Method of femoral artery closure. (2) Femoral artery status post- sheath removal. (3) Classification of femoral artery complication. (4) Type and dosage of anticoagulation administered. METHODS: Descriptive review of outcome variables by the Cardiology Nurse Practitioner. SELECTION: All cardiac angiography patients during the selected timeframe with peripheral percutaneous entry via the Judkin’s approach. EXCLUSION: Patients with peripheral vascular disease. STATISTICAL ANALYSIS: T-testing of data to include all demographic, procedural and clinical data of femoral artery complications within this patient group. FINDINGS: Positive correlation between the patient’s sex, age, anticoagulation and type of closure method utilized. CONCLUSIONS: Populations at risk may be identified using both demographic and clinical data such as sex, age, and anticoagulation administration. In addition, a valuable predictor of the type of vascular complication is strongly associated with the method of femoral closure. IMPLICATIONS: Acknowledgment of those patients at risk will increase awareness among nurses of potential complications the patient may ensue. The necessity for an individualized plan of care for all patients is apparent. Changes in practice with sheath removal and anticoagulation dosing maybe necessary to ensure positive patient outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredictors of Femoral Artery Complications: Reality or Fiction?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/152726-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predictors of Femoral Artery Complications: Reality or Fiction?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Morley, Margaret A., RN, MSN, CNS/ANP-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hoag Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Cardiology CNS/NP</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pmorley@hoaghospital.org</td></tr><tr><td colspan="2" class="item-abstract">OBJECTIVE: To find conclusive evidence that supports predictive indicators of femoral artery entry site complications post-percutaneous puncture. Entry site complications were defined as: (1) Hematoma resulting in anemia that required transfusion. (2) Femoral artery pseudoaneurysm. (3) Retroperitoneal bleed. DESIGN: Retrospective and prospective descriptive study. POPULATION: All patients undergoing cardiac angiography from 2001-2003 at a California community hospital. OUTCOME VARIABLES: (1) Method of femoral artery closure. (2) Femoral artery status post- sheath removal. (3) Classification of femoral artery complication. (4) Type and dosage of anticoagulation administered. METHODS: Descriptive review of outcome variables by the Cardiology Nurse Practitioner. SELECTION: All cardiac angiography patients during the selected timeframe with peripheral percutaneous entry via the Judkin&rsquo;s approach. EXCLUSION: Patients with peripheral vascular disease. STATISTICAL ANALYSIS: T-testing of data to include all demographic, procedural and clinical data of femoral artery complications within this patient group. FINDINGS: Positive correlation between the patient&rsquo;s sex, age, anticoagulation and type of closure method utilized. CONCLUSIONS: Populations at risk may be identified using both demographic and clinical data such as sex, age, and anticoagulation administration. In addition, a valuable predictor of the type of vascular complication is strongly associated with the method of femoral closure. IMPLICATIONS: Acknowledgment of those patients at risk will increase awareness among nurses of potential complications the patient may ensue. The necessity for an individualized plan of care for all patients is apparent. Changes in practice with sheath removal and anticoagulation dosing maybe necessary to ensure positive patient outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T11:47:26Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T11:47:26Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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