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CCBY-NCSA_V3.0_US, Open Access
Thesis
Increasing Patient Comfort During Cardiac Catheterization or Angioplasty: A Comparison of the Use of a Collagen Plug, Manual Pressure or the Transradial Approach
Washington State University
Master of Nursing (MN), Washington State University
05/1999
Handle:
https://hdl.handle.net/2376/4018
Abstract
In the United States alone, over 1,000,000 people per year enter the hospital for the purpose of having a cardiac catheterization or an angioplasty. Currently, the chosen approach for this procedure is to insert a sheath and catheter through the right femoral artery. Following the procedure, the patient, who has already been lying on their back for 1 to 3 hours, must continue to lie in a supine position waiting for the effects of anticoagulation to diminish and subsequent sheath removal. Following sheath removal, manual pressure is applied for 30 to 60 minutes in order to achieve hemostasis at the insertion site. The patient must then remain in a supine position for as long as 24 hours to ensure adequate sealing of the femoral artery puncture. During this time patients suffer groin pain, back pain, and many ofthe associated problems that come with immobilization. This paper is a review of the literature regarding a new device and a new approach that can, ultimately, serve to shorten the time of immobilization. The Angio-Seal™ is a bioabsorbable collagen device designed to seal the femoral artery puncture site. It is designed to create rapid hemostasis. Rapid hemostasis may lead to early arrlbulation and less discomfort suffered by the patient. The new approach reviewed is through the radial artery. Both of these new technologies may serve to lessen patient discomfort and the effects of immobilization.
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Details
- Title
- Increasing Patient Comfort During Cardiac Catheterization or Angioplasty: A Comparison of the Use of a Collagen Plug, Manual Pressure or the Transradial Approach
- Creators
- Christine L. Gauf
- Contributors
- Renee Hoeksel (Advisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Research Projects, College of Nursing
- Theses and Dissertations
- Master of Nursing (MN), Washington State University
- Publisher
- Washington State University; Spokane, Washington
- Identifiers
- 99900590532001842
- Copyright
- http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)
- Language
- English
- Resource Type
- Thesis