ABSTRACT
This report aims to discuss the management of radial artery spasm (RAS) during a transradial approach (TRA) in percutaneous coronary intervention, highlighting the challenges encountered during initial puncture. A 73-year-old male with a history of coronary and peripheral artery disease presented with exertional angina. TRA was chosen as the access technique. The patient was suspected to develop RAS when guidewire failed to advance. Contrast medium, nitroglycerin, and verapamil was administrated through a Seldinger needle, identifying the spasm level and enabling successful re-puncture proximal to the spasm site.The case highlights the importance of prompt recognition and effective management of RAS in TRA. Administration of medications through the Seldinger needle, along with precise estimation of the repuncture site, made the initial procedure to go through as planned.
Keywords:
Transradial approach, radial artery spasm, coronary angiography
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