A study of the patients’ vascular complications and pain after cardiac catheterization between transfemoral artery and transradial artery approach at post catheterization care unit, Ramathibodi hospital

Abstract

          This study was aimed to explore vascular complications and pain between transfemoral and transradial artery approach in post cardiac catheterization procudure The samples were purposively selected from June to July, 2018. Of these 284 patients underwent cardiac catheterization and had been observed in post catheterization care unit, Ramathibodi hospital. Data was collected using questionnaires patients after cardiac catheterization procedure through the arteries. The vascular complications was found in both transfemoral and transradial approach. For transfemoral approach, we found vascular complications included 10(4.9%) cases of hematoma, 9(4.1%) cases of ecchymosis, and 4(1.8%) cases of bleeding. In term of transradial approach, 1(1.6%) cases of hematoma, 1(1.6 %) cases of ecchymosis, and 1(1.6%) cases of bleeding. Most of patients after cardiac catheterization had no pain, however, 12 patients who had transfemoral approach had more pain than patients who had transradial approach. Conclusion :  Vary severity of pain and complications can be found in both transradial and transfemoral cardiac catheterization.  In this study, complication are more common in transfemoral and transradial approach. Early assessment and appropriate management by heathcare provider can minimize severity of complications.