Nursing care for patients submitted to cine coronary angiography and the nurse’s role in the vascular sheath removal
DOI:
https://doi.org/10.33448/rsd-v11i8.30609Keywords:
Cardiovascular Nursing; Vascular Closure Devices; Endovascular Procedures; Nursing Care; Cardiac Catheterization.Abstract
Objective: This study aims at reviewing the nursing role based on recent literature regarding patients submitted to cine coronary angiography, emphasizing arterial sheath removal procedure. Methods: This is an intuitive and narrative literature review, with a qualitative approach, using scientific articles published preferably in the last 5 years, available in full in Portuguese or English, in Scientific Electronic Library (Scielo), PubMED, and Biblioteca Virtual em Saúde (BVS) databases. Results: Nursing professionals provide complex and essential care for the maintenance of life in patients subjected to cine coronary angiography during every moment of their hospitalization. Brazilian nurses, when trained, have the autonomy and ability to proceed with arterial sheath removal after the percutaneous endovascular procedure in the catheterization laboratory. There are new vascular closure devices that can decrease hospitalization time in femoral punction cases. However, radial punction is still associated with a lesser adverse event rate. Evidence-based practices are key in preventing iatrogenics. Final considerations: There are several ways of removing the arterial sheath and reaching hemostasy. All of them require knowledge and experience in the best ways of providing nursing care and performing techniques, aiming for the patient to have the shortest possible recovery time, without increasing the risk to which he is subjected.
References
Amoras, T. S. G., Rêgo, H. C., Menezes, C., Formigosa, J., & Santos, E. (2020). Avaliação do tempo porta-balão como um indicador da qualidade assistencial. Revista de Enfermagem UFPE on line, 14(0), Article 0. https://doi.org/10.5205/1981-8963.2020.243995
Bianco, H. T., Povoa, R., Izar, M. C., Luna Filho, B., Moreira, F. T., Stefanini, E., Fonseca, H. A., Barbosa, A. H. P., Alves, C. M. R., Caixeta, A. M., Gonçalves Jr, I., Moraes, P. I. de M., Lopes, R. D., Paola, A. A. V. de, Almeida, D., Moises, V. A., Fonseca, F. A. H., Bianco, H. T., Povoa, R., … Fonseca, F. A. H. (2021). Acurácia da Redução do Segmento-ST Pós-Trombólise como Preditor de Reperfusão Adequada em Estratégia Fármaco-Invasiva. Arquivos Brasileiros de Cardiologia, 117(1), 15–25. https://doi.org/10.36660/abc.20200241
Butcher, H.K., Bulechek, G.M., Dochterman, J.M., Wagner, C.M. (2018) Nursing interventions classification (NIC) (7th ed.). St. Louis: Elsevier.
Córdova, E. S. M., Santos, L. R. dos, Toebe, D., Moraes, M. A. P. de, & Souza, E. N. de. (2018). Incidência de complicações hemorrágicas com o uso de pulseira de compressão radial: Estudo de coorte. Revista da Escola de Enfermagem da USP, 52. https://doi.org/10.1590/S1980-220X2017041003410
Feres, F., Costa, R. A., Siqueira, D., Costa, J. R., Chamié, D., Staico, R., Chaves, Á. J., Abizaid, A., Marin-Neto, J. A., Rassi, A., Botelho, R., Alves, C. M. R., Saad, J. A., Mangione, J. A., Lemos, P. A., Quadros, A. S., Queiroga, M. A. C., Cantarelli, M. J. C., & Figueira, H. R. (2017). DIRETRIZ DA SOCIEDADE BRASILEIRA DE CARDIOLOGIA E DA SOCIEDADE BRASILEIRA DE HEMODINÂMICA E CARDIOLOGIA INTERVENCIONISTA SOBRE INTERVENÇÃO CORONÁRIA PERCUTÂNEA. Arquivos Brasileiros de Cardiologia, 109, 1–81. https://doi.org/10.5935/abc.20170111
Herdman, T.H. (2022) Diagnósticos de Enfermagem da NANDA-I (2021-2023) (12 ed). Porto Alegre: Artmed.
Jakobsen, L., Holm, N. R., Maeng, M., Thim, T., Kristensen, S. D., Mogensen, L. H., & Christiansen, E. H. (2022). Comparison of MynxGrip vascular closure device and manual compression for closure after femoral access angiography: A randomized controlled trial: the closure devices used in every day practice study, CLOSE-UP III trial. BMC Cardiovascular Disorders, 22(1), 68. https://doi.org/10.1186/s12872-022-02512-0
Kim, S.-H., Behnes, M., Baron, S., Shchetynska-Marinova, T., Tekinsoy, M., Mashayekhi, K., Hoffmann, U., Borggrefe, M., & Akin, I. (2019). Differences of bleedings after percutaneous coronary intervention using femoral closure and radial compression devices. Medicine, 98(20), e15501. https://doi.org/10.1097/MD.0000000000015501
Kohlman-Trigoboff, D., Rich, K., Foley, A., Fitzgerald, K., Arizmendi, D., Robinson, C., Brown, R., & Treat-Jacobson, D. (2020). Society for Vascular Nursing Endovascular Repair of Abdominal Aortic Aneurysm (AAA) Updated Nursing Clinical Practice Guideline. Journal of vascular nursing: official publication of the Society for Peripheral Vascular Nursing, 38(2), 36–65. https://doi.org/10.1016/j.jvn.2020.01.004
Lima, V. C. G. S., Queluci, G. D. C., & Brandão, E. D. S. (2019). Cuidados de enfermagem ao cliente pós-angioplastia transluminal coronariana. Revista de Enfermagem UFPE on line, 13(3), 732. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/236601/31570
Ministério da Saúde. (2021). Principais causas de morte. Recuperado em 29 de agosto, 2021 de http://svs.aids.gov.br/dantps/centrais-de-conteudos/paineis-de-monitoramento/mortalidade/gbd-brasil/principais-causas/
Moreira, M. L. A. P., Mizuno, E. W., & Meireles, G. C. X. (2017). Consulta de enfermagem pré-cateterismo cardíaco e intervenções coronárias percutâneas. Revista de Enfermagem UFPE on line, 11(6), 2548–2556. https://doi.org/10.5205/1981-8963-v11i6a23423p2548-2556-2017
Nascimento, R. K. M., Andrade, K. B. S., Camerini, F. G., Franco, A. S., Marins, A. L. C., & Naves, C. B. de O. C. (2021). Consulta de enfermagem pré-procedimento de cateterismo cardíaco: Avaliação da satisfação do paciente. Revista Enfermagem UERJ, 29(1), 49970. https://doi.org/10.12957/reuerj.2021.49970
Noori, V. J., & Eldrup-Jørgensen, J. (2018). A systematic review of vascular closure devices for femoral artery puncture sites. Journal of Vascular Surgery, 68(3), 887–899. https://doi.org/10.1016/j.jvs.2018.05.019
Paganin, A. C., Beghetto, M. G., Feijó, M. K., Matte, R., Sauer, J. M., & Rabelo-Silva, E. R. (2018). Vascular complications in patients who underwent endovascular cardiac procedures: Multicenter cohort study. Revista Latino-Americana de Enfermagem, 26. https://doi.org/10.1590/1518-8345.2672.3060
Parach, A., Sadeghi-Ghahroudi, M., Saeid, Y., & Ebadi, A. (2018). The effect of evidence-based care guidelines on outcomes after removal of arterial sheath in patients undergoing angioplasty. ARYA Atherosclerosis, 14(6), 237–241. https://doi.org/10.22122/arya.v14i6.1380
Parecer normativo No 001/2015/COFEN (2015). Participação do enfermeiro nos procedimentos de hemodinâmica mais precisamente na retirada de introdutores vascular. Brasília, DF: CoFEn – Conselho Federal de Enfermagem.
Pereira, A.S., Shitsuka, D.M., Parreira, F.J., Shitsuka, R. (2018). Metodologia da pesquisa científica. (1 ed.) Santa Maria, RS: NTE/UFSM.
Petroglou, D., Didagelos, M., Chalikias, G., Tziakas, D., Tsigkas, G., Hahalis, G., Koutouzis, M., Ntatsios, A., Tsiafoutis, I., Hamilos, M., Kouparanis, A., Konstantinidis, N., Sofidis, G., Pancholy, S. B., Karvounis, H., Bertrand, O. F., & Ziakas, A. (2018). Manual Versus Mechanical Compression of the Radial Artery After Transradial Coronary Angiography: The MEMORY Multicenter Randomized Trial. JACC. Cardiovascular Interventions, 11(11), 1050–1058. https://doi.org/10.1016/j.jcin.2018.03.042
Rother, E. T. (2007). Revisão sistemática X revisão narrativa. Acta Paulista de Enfermagem, 20, v–vi. https://doi.org/10.1590/S0103-21002007000200001
Santos, A. N., Marins, A. L. C., Cardoso, R. B., & Camerini, F. G. (2020). Eventos adversos identificados em pacientes submetidos à coronariografia e angioplastia. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online), 977–983.
Santos, S. M. dos, Rabelo-Silva, E. R., Aliti, G. B., Romero, P. S., Corrêa, C. L., Valle, F. H., Gonçalves, S. C., Wainstein, M. V., & Wainstein, R. V. (2018). Dois métodos de hemostasia após cateterismo transradial: THEMATIC - protocolo de ensaio clínico randomizado. Revista Gaúcha de Enfermagem, 39. https://doi.org/10.1590/1983-1447.2018.2017-0257
Sartori, A. A., Gaedke, M. Â., Moreira, A. C., & Graeff, M. dos S. (2018). Diagnósticos de enfermagem no setor de hemodinâmica: Uma perspectiva adaptativa. Revista da Escola de Enfermagem da USP, 52. https://doi.org/10.1590/s1980-220x2017006703381
Silva, M. A. dos S., Marques, P. T. V., Castro, D. F. A. de, Padula, M. P. C., Yano, K. T., Coimbra, A. L. de L., & Carmo, V. L. do. (2016). Relação entre orientação, ansiedade e dor em pacientes submetidos ao cateterismo cardí¬aco / Relation between orientation, anxiety and pain in cardiac catheterization. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, 28–34.
Walter, J., Vogl, M., Holderried, M., Becker, C., Brandes, A., Sinner, M. F., Rogowski, W., & Maschmann, J. (2017). Manual Compression versus Vascular Closing Device for Closing Access Puncture Site in Femoral Left-Heart Catheterization and Percutaneous Coronary Interventions: A Retrospective Cross-Sectional Comparison of Costs and Effects in Inpatient Care. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 20(6), 769–776. https://doi.org/10.1016/j.jval.2016.05.004
Yee, J., Kumar, V., Li, S., Petraskova, T., Pham, A., Stys, J., Thompson, P. A., Petrasko, M., Stys, A., & Stys, T. (2018). Clinical factors associated with physician choice of femoral versus radial access: A real-world experience from a single academic center. J Interv Cardiol, 236–243.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Matheus da Silva Leão; Gabriel de Lima; Andrey Hudson Interaminense Mendes de Araújo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
