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Clinical Research in Cardiology

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Open Access 01-10-2018 | Original Paper

Driving ability after right-sided puncture of the common femoral artery during coronary angiography

Authors: Christoph Brenner, Raoul Fuehring, David Niederseer, Rudolf Kirchmair, Christian Haid, Michael Liebensteiner

Published in: Clinical Research in Cardiology | Issue 10/2018

Abstract

Objectives/background

To assess brake reaction time (BRT; key factor in driving ability) in patients receiving transfemoral coronary angiography (CAG). We assumed that patients would have a significantly impaired BRT after the procedure.

Methods

A prospective, observational study design was applied. Consecutive patients undergoing right-sided transfemoral CAG as part of the clinical routine were included. An experimental driving simulator was used to determine BRT after receiving a visual stimulus. The subjects applied the brake with their right foot as quickly as possible when a red-light signal appeared. The time interval between stimulus and brake application was taken as BRT. In addition to the total BRT, also its components were determined: neurologic reaction time, foot transfer time and brake travel time. BRT was determined before and 1 day after CAG (pre-post comparison).

Results

71 patients were included in the analysis (58 male, age 61 ± 9 years). Total BRT was 594 ± 188 and 591 ± 198 ms before and after the CAG procedure, respectively (p = 0.270). Similarly, also the BRT components ‘foot transfer time’ and ‘brake travel time’ did not show significant differences between the two test occasions. However, neurologic reaction time decreased from 269 ± 67 to 255 ± 64 ms (p = 0.036).

Conclusions

We found no impairment of BRT on the first day after puncture of the right-sided femoral artery in patients undergoing CAG. Therefore, with regard to BRT, it is regarded safe to resume driving from day 1 after CAG. Other factors of driving safety beyond BRT must also be considered.

Al-khayer A, Schueler A, Kruszewski G, Armstrong G, Grevitt MP (2008) Driver reaction time before and after treatment for lumbar radiculopathy. Spine 33(15):1696–1700. https://doi.org/10.1097/BRS.0b013e31817b5bb7 CrossRefPubMed

Ganz SB, Levin AZ, Peterson MG, Ranawat CS (2003) Improvement in driving reaction time after total hip arthroplasty. Clin Orthop Relat Res 413:192–200. https://doi.org/10.1097/01.blo.0000072468.32680.ff CrossRef

Pierson JL, Earles DR, Wood K (2003) Brake response time after total knee arthroplasty: when is it safe for patients to drive? J Arthroplasty 18(7):840–843CrossRefPubMed

Marques CJ, Cabri J, Barreiros J, Carita AI, Friesecke C, Loehr JF (2008) The effects of task complexity on brake response time before and after primary right total knee arthroplasty. Arch Phys Med Rehabil 89(5):851–855. https://doi.org/10.1016/j.apmr.2007.10.025 CrossRefPubMed

MacDonald W, Owen JW (1988) The effect of total hip replacement on driving reactions. J Bone Joint Surg Br 70(2):202–205CrossRefPubMed

Liebensteiner MC, Kern M, Haid C, Kobel C, Niederseer D, Krismer M (2010) Brake response time before and after total knee arthroplasty: a prospective cohort study. BMC Musculoskelet Disord 11:267. https://doi.org/10.1186/1471-2474-11-267 CrossRefPubMedPubMedCentral

Marques CJ, Barreiros J, Cabri J, Carita AI, Friesecke C, Loehr JF (2008) Does the brake response time of the right leg change after left total knee arthroplasty? A prospective study. Knee 15(4):295–298. https://doi.org/10.1016/j.knee.2008.02.008 CrossRefPubMed

Liebensteiner MC, Rochau H, Renz P, Smekal V, Rosenberger R, Birkfellner F, Haid C, Krismer M (2014) Brake response time returns to the pre-surgical level 6 weeks after unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 22(8):1926–1931. https://doi.org/10.1007/s00167-014-3050-1 CrossRefPubMed

Gotlin RS, Sherman AL, Sierra N, Kelly MA, Pappas Z, Scott WN (2000) Measurement of brake response time after right anterior cruciate ligament reconstruction. Arch Phys Med Rehabil 81(2):201–204CrossRefPubMed

10.

Hau R, Csongvay S, Bartlett J (2000) Driving reaction time after right knee arthroscopy. Knee Surg Sports Traumatol Arthrosc 8(2):89–92CrossRefPubMed

11.

Liebensteiner MC, Birkfellner F, Thaler M, Haid C, Bach C, Krismer M (2010) Driving reaction time before and after primary fusion of the lumbar spine. Spine 35(3):330–335. https://doi.org/10.1097/BRS.0b013e3181b8e11a CrossRefPubMed

12.

Thaler M, Lechner R, Foedinger B, Haid C, Kavakebi P, Galiano K, Obwegeser A (2012) Driving reaction time before and after surgery for lumbar disc herniation in patients with radiculopathy. Eur Spine J 21(11):2259–2264. https://doi.org/10.1007/s00586-012-2378-9 CrossRefPubMedPubMedCentral

13.

Lechner R, Thaler M, Krismer M, Haid C, Obernauer J, Obwegeser A (2013) Driving reaction time before and after anterior cervical fusion for disc herniation: a preliminary study. Eur Spine J 22(7):1517–1521. https://doi.org/10.1007/s00586-013-2688-6 CrossRefPubMedPubMedCentral

14.

Thaler M, Lechner R, Foedinger B, Haid C, Kavakebi P, Galiano K, Obwegeser A (2015) Driving reaction time before and after surgery for disc herniation in patients with preoperative paresis. Spine J 15(5):918–922. https://doi.org/10.1016/j.spinee.2013.06.052 CrossRefPubMed

15.

Bahir A, Lawaetz O, Kjeldsen L, Lund P (2001) Convalescence and driver reaction time after tension-free inguinal hernia repair. Ambul Surg 9(1):19–21CrossRefPubMed

16.

Wright DM, Hall MG, Paterson CR, O’Dwyer PJ (1999) A randomized comparison of driver reaction time after open and endoscopic tension-free inguinal hernia repair. Surg Endosc 13(4):332–334CrossRefPubMed

17.

Wilson MS, Irving SO, Iddon J, Deans GT, Brough WA (1998) A measurement of the ability to drive after different types of inguinal hernia repair. Surg Laparosc Endosc 8(5):384–387CrossRefPubMed

18.

Scott PA, Candler PD, Li JC (1996) Stature and seat position as factors affecting fractionated response time in motor vehicle drivers. Appl Ergon 27(6):411–416CrossRefPubMed

19.

Spalding TJ, Kiss J, Kyberd P, Turner-Smith A, Simpson AH (1994) Driver reaction times after total knee replacement. J Bone Joint Surg Br 76(5):754–756CrossRefPubMed

20.

Burckhardt M (1985) Reaktionszeiten bei Notbremsvorgangen. TUV, Rheinland, Cologne

21.

Department of Transport COI (1978) The highway code. Her Majesty’s Stationery Office, London

22.

Royal Automobile Club of Victoria (1996) Average reaction, braking and stopping distances in metres at different speed with reaction time of 0.75 s. Royal Automobile Club of Victoria, Melbourne

23.

Klein HH, Krämer A, Pieske BM, Trappe HJ, De Vries H (2010) Positionspapier Fahreignung bei kardiovaskulären Erkrankungen. Der Kardiologe 4(6):441–473CrossRef

24.

Feldkamp T, Luedemann M, Spehlmann ME, Freitag-Wolf S, Gaensbacher J, Schulte K, Bajrovic A, Hinzmann D, Hippe HJ, Kunzendorf U, Frey N, Luedde M (2018) Radial access protects from contrast media induced nephropathy after cardiac catheterization procedures. Clin Res Cardiol 107(2):148–157. https://doi.org/10.1007/s00392-017-1166-2 CrossRefPubMed

Title: Driving ability after right-sided puncture of the common femoral artery during coronary angiography
Authors: Christoph Brenner
Raoul Fuehring
David Niederseer
Rudolf Kirchmair
Christian Haid
Michael Liebensteiner
Publication date: 01-10-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Research in Cardiology / Issue 10/2018
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-018-1257-8

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