Responses:
 
• l think the venous sheath should be removed first, because it needs less pressuring time and can be easily managed, if the arterial is removed first you have to concentrate on pressuring the complicated penetrating site which may disturb removing the left sheath.
Zhangfeng, Cardiology Division, Shanghai Second Medical University, Shanghai, China, 30 Jan 2002

• I was under the impression that removing the venous line first was a no-no, as if you have a vaso vagal, etc you would have removed the venous access, whereas if you remove the arterial, you still have a large bore vein??? I normally remove both simultaneously but Ihave read about incidence of arterio-venous fistula...i guess it boils down to your own preference.
Andrina Hargreaves, Prince Sultan Cardiac Centre, Riyadh , Saudi Arabia, 10 Feb 2002

• Removing the venous sheath first is much easier & takes short time as well as being safe procedure as far as you have a peripheral IV line in case you need it for giving emergency medications.No bleeding usually occurs after venous line removal especially for patients who recieved anticoagulants & antiplatelets compared to the high risk of arterial line bleeding in these circumstances. So it is better to remove the venous line first & clean the area & your mind concentrating on one thing the arterial line.
Dr Magdi Yousif, Prince Sultan Cardiac Centre, Riyadh Saudi Arabia, 30 May 2002

add your response
Please keep your posting concise. For readability we  limit responses to 1,200 characters.
Also note that The Forum is not an "ask-a-doctor" service; we do not dispense medical
advice about a patient's specific situation. Read our disclaimer and note that no information
on this Forum should be viewed as a substitute for medical advice or as a consultation
with a medical doctor: 

 characters left

Forum name -- how do you want to be identified on your post (Required)


your email address (Required):
email address must be current and valid; if email sent to the address
below is returned, your comments will not be posted; your email address
will not be displayed on the Forum unless you specifically request it:


please enter your email address again (for verification)


geographic location (city, state, province and/or country -- Required):        



REQUIRED -- Check the box below to let us know you are a "real human being" and not a spambot.
You must check this box for your posting to be submitted:
 I am a real person and not a spambot

The following information is optional. 

your name:



your organization:




Check the box below if you wish Angioplasty.Org to "anonymize" your posting (for example,
John Doe, Baltimore, Maryland, USA  would become John D., Maryland, USA):
 please anonymize me

To submit your post, please click the button below once and wait for a confirmation.
Clicking more than once will result in multiple submissions.

Please note the following disclaimer: The information contained in this web site is accurate to the best of the knowledge of Angioplasty.Org. None of this information should be viewed as a substitute for medical advice or as a consultation with a medical doctor. It is highly recommended that readers discuss any advice with a medical doctor before deciding on a course of action. Angioplasty.Org or its producers assume no liability for any actions taken as a result of information contained on this site, whether implied or expressed. Opinions and recommendations expressed on the FORUM are solely those of their authors. All submissions are reviewed and posted at the editors' discretion. FORUM submissions that are primarily commercial in nature, advertising services or products, are not posted. Any medical advice expressed on the FORUM does not necessarily represent the views of Angioplasty.Org, its producers, or of anyone associated with it, or of others appearing on this web site. Please note that this is a moderated discussion, so your response will appear after a short review.