Related Experiment Video

Updated: May 4, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.9K

Immediate mobilization after coronary angiography or percutaneous coronary intervention following hemostasis with the

Ellen Nyholm Larsen1, Charlotte Bak Hansen2, Per Thayssen2

  • 1Department of Cardiology, Odense University Hospital, Denmark Ellen.Nyholm.Larsen@rsyd.dk.

European Journal of Cardiovascular Nursing
|December 17, 2013
PubMed

Insights

Immediate mobilization after cardiac procedures like coronary angiography or percutaneous coronary intervention (PCI) does not increase bleeding risk. This finding supports earlier patient mobility following femoral artery access closure.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access Management

Background:

  • Standard post-coronary angiography and percutaneous coronary intervention (PCI) care involves prolonged bed rest.
  • Vascular closure devices are routinely used, yet immobilization remains standard practice.

Purpose of the Study:

  • To compare bleeding complications in patients undergoing cardiac catheterization with immediate mobilization versus standard bed rest.
  • To evaluate safety of early mobilization after diagnostic coronary angiography (MOBS I) and after PCI (MOBS II).

Main Methods:

  • Two cohorts were studied: MOBS I (diagnostic angiogram) and MOBS II (PCI).
  • Patients were randomized to immediate mobilization or standard care (1-2 hours bed rest).
  • Bleeding complications were categorized as major or minor, with specific definitions provided.

Main Results:

  • No major bleeding complications occurred in MOBS I; minor bleeding rates were similar (2.0% vs 4.0%, p=0.41).
  • In MOBS II, major bleeding rates were comparable between immediate mobilization (26.6%) and standard care (28.0%, p=0.78).
  • Oozing was the predominant complication, with no significant difference between groups (22.8% vs 20.5%, p=0.62).

Conclusions:

  • Immediate mobilization after coronary angiography or PCI using AngioSeal closure is safe.
  • Early mobilization is not associated with an increased bleeding risk compared to standard bed rest protocols.
Abstract

Keywords:
Closure devicecomplicationsmobilizationpercutaneous coronary intervention

More Related Videos

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty10:03

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty

Published on: January 28, 2020

4.9K
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

2.8K

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
522
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
2.1K
Vascular Spasm01:16

Vascular Spasm

The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
4.9K
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
495