Comparison of Patient Perceived Post-Procedure Access Site Pain in Patients Undergoing Transradial versus Transfemoral Coronary Angiography/Angioplasty

• Other Authors: Wagner, Nancy Anne (authoraut)
• Format: Others
• Language: English; English
• Published: Florida State University
• Subjects: Nursing
• Online Access: http://purl.flvc.org/fsu/fd/FSU_migr_etd-1401

Coronary heart disease (CHD) is the number one leading cause of death in the United States. According to the most recent statistics, compiled in 2003, an estimated 500,000 gas were attributed to CHD, in the United States alone. Today, there are a number of diagnostic tests available to aid the practitioner in diagnosing a patient who presents with signs and symptoms consistent with CHD. However, when one test remains 100% effective in diagnosing the presence or absence of coronary artery disease, and that is coronary angiography. Coronary angiography is a percutaneous procedure which provides him the operator with direct visualization of the coronary arterial anatomy, as well as measurement of heart function. It also enables the operator (interventional cardiologist) to detect and, when amenable, revascularize blocked coronary arteries. Since its inception, the "gold standard" access site approach for performing this procedure has been through the femoral artery. However, over the past decade a new approach to percutaneous angiography/angioplasty has emerged, this being the transradial approach. Will numerous studies have been conducted to compare the safety and efficacy between these two access site approaches, little has been done to study the difference in patient perceived post procedural access site pain between the two groups. The purpose of the study was to evaluate and compare patient perceived pain levels following transradial and transfemoral angiography, with or without angioplasty, as it related to the route of vascular access. Fifty patients were enrolled in the study, and of these, 27 patients underwent transradial access site approach and the remaining 23 underwent transfemoral access site approach for the percutaneous coronary procedure. Following the procedure, each patient was asked to rate the level of pain they were experiencing at the access site. The hypotheses examined whether or not the use of the transradial approach to percutaneous coronary procedures would result in lower reported levels of perceived access site pain compared to the use of a transfemoral approach. Based on the data collected, there appeared to be no significant difference between the two access site approaches and the patient perceived level of access site pain following the procedure ( p= 0.381). Therefore, the researcher's hypothesis was not supported. A significant negative correlation was found to exist between the patient's BMI score and there level of post procedural access site pain. He was found that patient with a low or BMI score reported higher levels of post procedural access site pain. === A Thesis Submitted to the School of Nursing in Partial Fulfillment of the Requirements for the Degree of Master of Science in Nursing. === Spring Semester, 2007. === March 16, 2007. === Transfemoral, Transradial, Angiography, Access Site Pain, Angioplasty === Includes bibliographical references. === Laurie Grubbs, Professor Directing Thesis; James Whyte, IV, Committee Member; Mary Zeni, Committee Member.