C-2: Arteriography via Femoral Artery Puncture

Immobilization Following
Femoral Puncture

Catheter
Size (Fr.)		 Sheath
Size (Fr.)		 Arterial
(Hours)		 Venous
(Hours)
4 --- 4 2
5 --- 5 3
6 4 6 4
7 5 7 6
8 6 8 6
9 7 10 8
10 8 12 8
--- 10 16 12
--- 12 24 12
  • Routine Post-Arteriography Orders
    1. Patient S/P (name of procedure).
    2. Resume previous medication and diet orders.
    3. Encourage PO fluids unless contraindicated.
    4. 4. Check and record vital signs (BP, HR, Respiratory Rate), _____groin puncture site(s) for bleeding, hematoma, and check distal pulses (dorsalis pedis and posterior tibial)
      • q 15-min x 2, then
      • q 30-min x 4, then
      • q 1-hr. x 4, then
      • q 4-hr
    5. Bed rest x (Per Immobilization Table ) keeping hip and leg straight (no flexion of hip )
    6. May turn slightly (less than 30°) to side of puncture after 2 hr - log-roll with assistance
    7. May elevate HOB 30° after 6 hr
    8. Notify H/O if any changes occur
    9. If bleeding occurs or a hematoma develops, compress puncture sire, notify H/O and Section of Vascular and Interventional Radiology or Vascular/Interventional Radiologist on call

See Appendix B-03 for procedural information