Paper
Friday, July 23, 2004
10:00 AM - 10:30 AM
Friday, July 23, 2004
3:00 PM - 3:30 PM
Predictors of Femoral Artery Complications: Reality or Fiction?
Margaret A. Morley, RN, MSN, CNS/ANP-C, Hoag Hospital, Newport Beach, CA, USA
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.
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Sigma Theta Tau International
July 22-24, 2004