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angioplasty nursing care

Y Erben, C I Mena-Hurtado, S M Miller, R A Jean, B J Sumpio, C A Velasquez, H Mojibian, J Aruny, A Dardik, B E Sumpio
OBJECTIVE: Treatment for lifestyle limiting claudication (LLC) that is due to infra-inguinal peripheral artery disease relies on either bypass, angioplasty, and/or stenting. Given the enthusiasm and shift toward more endovascular therapy for treatment of LLC, we sought to analyze whether octogenarians benefit from infra-inguinal interventions in the same manner as their younger counterparts. METHODS: We identified all patients admitted for elective treatment of LLC from the Nationwide Inpatient Sample from 2003 to 2012, who received open surgical or endovascular intervention for infra-inguinal peripheral arterial disease...
February 6, 2018: Catheterization and Cardiovascular Interventions
Fahimeh Jafari, Mohsen Shahriari, Fakhri Sabouhi, Alireza Khosravi Farsani, Maryam Eghbali Babadi
BACKGROUND: Lack of knowledge, attitude and practice are some of the barriers of having a healthy lifestyle and controlling high blood pressure. This study aimed to determine the effectiveness of a lifestyle modification program on knowledge, attitude and practice of hypertensive patients with angioplasty. METHODS: This study was a randomized controlled clinical trial conducted from November to April 2014 on 60 hypertensive patients with angioplasty in Shahid Chamran hospital of Isfahan, Iran...
October 2016: International Journal of Community Based Nursing and Midwifery
Sanaz Aazami, Molouk Jaafarpour, Mosayeb Mozafari
This study aimed to explore needs and expectations of Iranian patients who undergone angioplasty procedures. Coronary artery disease is the leading cause of morbidity and mortality worldwide. Recently, Percutaneous Coronary Intervention (PCI) has frequently been used as a substitute for coronary artery surgery, representing a less invasive and more cost-effective procedure. However, little information is known about the experiences and needs of patients undergone PCI. This research involved a qualitative study that employed the content analysis method...
September 2016: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
Robin Cooper
Treating lymphoedema in patients with critical arterial disease can be contraindicated. This case study describes current methods of managing lymphoedema in a patient with arterial disease and leg ulcers. The patient, a 65-year-old male, had paraplegia and lower-limb lymphoedema with leg ulceration for 18 years, as well as arterial disease. The patient was referred to the lymphoedema/vascular service in 2013. Duplex ultrasound indicated superficial femoral occlusion. The arterial disease was treated with an angiogram and angioplasty, and when the blood supply was improved, the lymphoedema was treated...
April 2016: British Journal of Community Nursing
Masoumeh Forooghy, Elaheh Mottahedian Tabrizi, Ebrahim Hajizadeh, Bahram Pishgoo
BACKGROUND: A cardiac catheterization laboratory can be a frightening environment and music can be a supportive source of environmental sound that stimulates and maintains relaxation. However, the results of studies are conflicting in this regard. OBJECTIVES: The aim of this study was to investigate the effect of music therapy on patients' anxiety and hemodynamic parameters during percutaneous transluminal coronary angioplasty. PATIENTS AND METHODS: This was a randomized controlled trial, conducted in the Catheterization Laboratory Unit of Baqiyatallah Hospital, in Tehran, Iran...
June 2015: Nursing and Midwifery Studies
Brittany R Gomes
Primary treatment for coronary vascular disease focuses on therapeutic lifestyle changes. However, additional medical management or even coronary intervention may be required. Access sites for catheterization include the brachial, radial, and femoral arteries. As an increasing number of providers implement transradial cardiac catheterization, education for nurses is a priority.
May 2015: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
Florence Duval, Christelle Corre, Hervé Kerleroux, Philippe Castellant, Marie-Claire Pouliquen, Jacques Mansourati
After a myocardial infarction, the patient receiving pre-hospital care is transferred directly and as quickly as possible to the coronary angiography room. After reperfusion, they are admitted to a cardiac intensive care unit for pharmacological treatment and therapeutic education, in order to reduce the risk factors. Throughout their care pathway, the patient benefits from the skills of a multi-disciplinary team.
March 2015: Soins; la Revue de Référence Infirmière
Elene van der Merwe, Rick Luscombe, Mercedeh Kiaii
BACKGROUND: Thrombolytics such as tissue plasminogen activator are often used by interventional radiologists in the radiology suite to salvage thrombosed hemodialysis arteriovenous fistulae. Thrombolytics are also commonly used in dialysis facilities as a dialysis catheter lock solution or as an infusion into a dialysis catheter when dysfunctional. However, the use of tissue plasminogen activator as a continuous infusion into an arteriovenous fistula in the dialysis facility to treat clot burden is not commonly done...
2015: Canadian Journal of Kidney Health and Disease
Lorenzo Azzalini, Eduard Solé, Jordi Sans, Montserrat Vila, Albert Durán, Dolores Gil-Alonso, Miquel Santaló, Xavier Garcia-Moll, Alessandro Sionis
OBJECTIVES: This pilot trial evaluated the feasibility and safety of an early discharge strategy (EDS: ≤72 h, followed by outpatient lifestyle interventions), in comparison with a conventional discharge strategy (CDS) for low-risk (Zwolle risk score ≤3) ST-elevation myocardial infarction (STEMI) patients treated with primary angioplasty. METHODS: One hundred patients were randomized to an EDS (n = 54) or a CDS (n = 46). The primary end point was the feasibility of the EDS: (1) ≥70% of EDS patients discharged ≤72 h, (2) ≥70% visited by a nurse ≤7 days after discharge, (3) ≥70% with ≥3 visits by the nurse and (4) ≥70% visited by a cardiologist ≤3 months...
2015: Cardiology
Toshiyuki Uehara, Nobuyuki Yasui, Yasushi Okada, Yasuhiro Hasegawa, Kazuyuki Nagatsuka, Kazuo Minematsu
BACKGROUND: We conducted a survey by questionnaire to identify the essential components of stroke centers in Japan and compared our results with the European Expert Survey. METHODS: In 2007, a questionnaire was mailed to the directors of 740 facilities certified by the Japan Stroke Society to ask their opinion on the essential components of comprehensive stroke centers (CSC), primary stroke centers (PSC) and any hospital ward (AHW) admitting acute stroke patients...
2014: Cerebrovascular Diseases
Kunal N Karmali, Philippa Davies, Fiona Taylor, Andrew Beswick, Nicole Martin, Shah Ebrahim
BACKGROUND: Cardiac rehabilitation is an important component of recovery from coronary events but uptake and adherence to such programs are below recommended levels. In 2010, our Cochrane review identified some evidence that interventions to increase uptake of cardiac rehabilitation can be effective but there was insufficient evidence to provide recommendations on intervention to increase adherence. In this review, we update the previously published Cochrane review. OBJECTIVES: To determine the effects, both harms and benefits, of interventions to increase patient uptake of, or adherence to, cardiac rehabilitation...
2014: Cochrane Database of Systematic Reviews
Soon Yeng Soo Hoo, Robyn Gallagher, Doug Elliott
People aged over 60 years represent an increasingly high proportion of the population undergoing percutaneous coronary intervention. While risks are greater for older people in terms of major adverse cardiovascular events and higher mortality for this treatment, it is unclear if the benefits of health-related quality of life outcomes may outweigh risks. A search of the PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica, and Cochrane databases was conducted for the period from January 1999 to June 2012 using key words "percutaneous coronary intervention"/"angioplasty," "older," "elderly," and "quality of life"/"health-related quality of life...
December 2014: Nursing & Health Sciences
Lorelle Martin, Maria Murphy, Andrew Scanlon, Carolyn Naismith, David Clark, Omar Farouque
BACKGROUND: Coronary heart disease is the most common condition affecting Australians. The time sensitive nature of treating ST-segment elevation myocardial infarction (STEMI) has been the subject of extensive research for several years. Despite important advances in strategies to reduce time to treatment, time continues to represent a major determinant of mortality and morbidity. Door to balloon time (DTBT) is a key indicator of quality of care for STEMI. Nurses play a pivotal role in streamlining the care processes to influence timely management of STEMI...
August 2014: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Chris Ellis, Greg Gamble, Gerard Devlin, John Elliott, Andrew Hamer, Michael Williams, Philip Matsis, Richard Troughton, Isuru Ranasinghe, John French, David Brieger, Derek Chew, Harvey White
AIMS: To audit all patients admitted to a New Zealand (NZ) Hospital with a suspected or definite acute coronary syndrome (ACS) over a 14-day period, to assess their presentation type and management in hospital and at discharge, with emphasis on time delays for invasive management and revascularisation treatments. METHODS: We updated the established NZ ACS Audit group of 39 hospitals admitting ACS patients across NZ, and enrolled NZ patients in conjunction with the bi-National Australia and NZ ACS 'SNAPSHOT' audit...
December 13, 2013: New Zealand Medical Journal
Stephanie L Siehr, Jana K Norris, Julie A Bushnell, Chandra Ramamoorthy, V Mohan Reddy, Frank L Hanley, Gail E Wright
BACKGROUND: From 2002 to 2005, the interstage mortality after a modified Norwood procedure was 7% in our program. An interstage home monitoring program (HMP) was established to identify Norwood procedure patients at increased risk of decompensation and to reduce interstage mortality. METHODS: Results of the first 5 years of the Norwood HMP were reviewed retrospectively. Interstage was defined as the time between Norwood hospital discharge and admission for second stage surgical palliation...
February 2014: Journal of Thoracic and Cardiovascular Surgery
Ellen C Christiansen, Kelly K Wickstrom, Timothy D Henry, Ross F Garberich, Stephanie C Rutten-Ramos, David M Larson, Elizabeth Z Grey, Norma L Thiessen, Robert G Hauser, Marc C Newell
Functional outcomes of elderly patients ≥80 years who undergo percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) are unknown. Registry data indicate that up to 55% of elderly patients with STEMI do not receive reperfusion therapy despite a suggested mortality benefit, and only limited data are available regarding outcomes in elderly patients treated with primary PCI. Therefore, prospective data from a regional STEMI transfer program were analyzed to determine major adverse cardiac events, length of stay, and discharge status of consecutive patients with STEMI ≥80 years from March 2003 to November 2006...
August 1, 2013: American Journal of Cardiology
Rejane K Furuya, Luciana R F Mata, Vivian S Veras, Aline H Appoloni, Rosana A S Dantas, Renata C C P Silveira, Lidia A Rossi
OBJECTIVE: To identify studies of telephone follow-up conducted with patients who had undergone myocardial revascularization, and to assess and synthesize the results. DESIGN AND METHODS: This is a systematic review; the literature search was conducted in six electronic databases. Controlled descriptors were health education, teaching, myocardial revascularization, coronary artery bypass, angioplasty, telenursing, telephone, and hotlines; the noncontrolled descriptor was needs information...
May 2013: American Journal of Nursing
Diane J Treat-Jacobson, Kathleen Rich, Theresa DeVeaux, Karen Fitzgerald, Alyson Flood, Victoria Gilpin, Laura N Kirk, Diane Smith, Lily Thomson, Carol Ann Jepson
No abstract text is available yet for this article.
March 2013: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
Kyunghee Kim, Sungho Won, Jisu Kim, Eunkyung Lee, Kisook Kim, Suyeon Park
PURPOSE: This study systematically examined previous studies on the effect of early ambulation on vascular complications in subjects who had just undergone a percutaneous coronary intervention (PCI), and analyzed the effects of early ambulation on both hemorrhage and hematoma formation at the puncture site. METHODS: Study data were analyzed using the R (version 2.13.1) program. Publication bias was verified via regression analysis, using the logarithm of the odds ratio (OR) and sample size, and a funnel plot using sample size...
October 2013: European Journal of Cardiovascular Nursing
Shian-Ting Tsai, Fan-Hao Chou
BACKGROUND: Properly educating myocardial infarction (MI) patients in the extremely busy cardiac care unit (CCU) work environment is difficult for CCU nurses. PURPOSE: This study examined the effectiveness of multimedia nursing education in reducing illness-related anxiety and uncertainty in MI patients following percutaneous coronary intervention (PCI). METHODS: A quasi-experimental study with judgment sampling was designed and performed at a medical center in South Taiwan...
August 2012: Hu Li za Zhi the Journal of Nursing
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