Immediate Mobilization After Cardiac Catheterisation
SAMOVAR
Patients Immediate Mobilization After Coronary Angiography and Percutaneous Coronary Intervention. Is it SAfe to MObilize Patients Very eARly After Cardiac Catheterisation?
1 other identifier
interventional
2,000
1 country
1
Brief Summary
The purpose of this study is to investigate the frequency of bleeding and haematomas in patients undergoing coronary angiography or percutaneous coronary intervention via femoral artery and mobilized immediately after the procedure, compared to those mobilized after two hours (following the standard regimen). At the same time the investigators will investigate whether it reduces the discomfort being mobilized immediately after the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2013
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
February 13, 2014
CompletedFirst Posted
Study publicly available on registry
February 24, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedJuly 1, 2016
June 1, 2016
3.6 years
February 13, 2014
June 30, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hematoma> 5 cm
occurred after the end of the procedure, including retroperitoneal hematoma, bleeding requiring transfusion or pseudoaneurysm that require vascular surgical intervention. Assessed after 30 minutes, after two hours and before discharge
participants will be followed for the duration of hospital stay, an expected average of 24 hours
Secondary Outcomes (4)
The presence of hematoma> 10 cm in diameter
participants will be followed for the duration of hospital stay, an expected average of 24 hours
The presence of hematoma 2-5 cm in diameter
participants will be followed for the duration of hospital stay, an expected average of 24 hours
Oozing or bleeding from the puncture site
participants will be followed for the duration of hospital stay, an expected average of 24 hours
Comfort rating (NRS scale)
Two hours after the procedure
Study Arms (2)
Immediate mobilization
EXPERIMENTALImmediate mobilization after coronary angiography or percutaneous coronary intervention
Two hours bedrest
ACTIVE COMPARATORBedrest two hours after coronary angiography or percutaneous coronary intervention
Interventions
Patients are mobilized immediate after coronary angiography and percutaneous coronary intervention via femoral access and closed with Angio-seal closing device. Heparin reverted with Protaminsulphate
Patients is following the usual regimen, two hours bedrest after coronary angiography and percutaneous coronary intervention via femoral access and closed with Angio-seal closing device before mobilization. Heparin is reverted with Protaminsulphate
Eligibility Criteria
You may qualify if:
- CAG or PCI performed via the femoral artery
- No hematoma in the groin (\> 5 cm in diameter)
- Heparin reversed with protamine after PCI
You may not qualify if:
- Oozing, bleeding or hematoma
- Treatment with Integrilin, ReoPro, or Marevan
- Heparin can not be reversed
- The patient does not want to participate
- Systolic blood pressure \> 180 mm Hg after the procedure
- BMI\> 35 (can be modified if the groin can be assessed in an upright position)
- Demented, unconscious patients who do not understand the information for participants.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Copenhagen University Hospital, Rigshospitalet
Copenhagen, DK-2100, Denmark
Related Publications (1)
Norgaard MW, Faerch J, Joshi FR, Hofsten DE, Engstrom T, Kelbaek H. Is It Safe to Mobilize Patients Very Early After Transfemoral Coronary Procedures? (SAMOVAR): A Randomized Clinical Trial. J Cardiovasc Nurs. 2022 Sep-Oct 01;37(5):E114-E121. doi: 10.1097/JCN.0000000000000845. Epub 2021 Jul 26.
PMID: 34321432DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marianne W Moergaard, MVO
Cardiac Cath.lab. Copenhagen University Hospital, Rigshospitalet, Denmark
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Nurse Specialist
Study Record Dates
First Submitted
February 13, 2014
First Posted
February 24, 2014
Study Start
April 1, 2013
Primary Completion
November 1, 2016
Study Completion
December 1, 2016
Last Updated
July 1, 2016
Record last verified: 2016-06