Angiography performed through the groin artery provides great convenience to the physician during the procedure due to the large size of the groin vessels. However, after the procedure, when the angio sheath is removed from the vein, manual pressure is applied for 10-15 minutes, then pressure is applied with a sandbag for an hour, and bed rest is required for approximately 4-5 hours. However, the pressure applied to the groin to prevent bleeding is sometimes not sufficient to compress the vein, especially in overweight patients, and the procedure causes some difficulties for the patient, albeit minor. Since the bleeding of the vein stops late, a sandbag is needed even for an hour to prevent swelling (hematoma), pain and bruising. Although the sandbag weighs 1kg, it can cause serious discomfort to the patient and the patient will either have to go to the toilet in bed or have to postpone it. All these events negatively affect the comfort of the patient. However, angiography performed through the intervention of the radial artery (wrist) or brachial artery (elbow), which are arm vessels, provides great comfort to the patients. No sandbag required. The patient's discharge time is approximately 2 hours. However, this method also has its limitations. The main reasons are the difficulty of the procedure in patients with thin veins and the difficulty of catheter manipulations for the physician in thin veins. However, in good hands, the procedure is completed successfully and without any problems in the majority of patients. With the arm angiography method mentioned above, balloons and stents can also be inserted in the same session if necessary.
Read: 0
