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Management of Radial Artery Spasm During Transradial Catheterization with Proximal Re-entry
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Case Report
VOLUME: 2 ISSUE: 1
P: 24-26
April 2024

Management of Radial Artery Spasm During Transradial Catheterization with Proximal Re-entry

Bull Crdiov Acad 2024;2(1):24-26
DOI: 10.4274/kvbulten.galenos.2024.91300
Şahhan Kılıç 1
Mustafa Oğuz 1
Süha Asal 1
Kenan Kadirli 2
Ahmet Lütfullah Orhan 1
1. Sultan 2. Abdülhamid Han Eğitim ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, İstanbul, Türkiye
2. Sultan 2. Abdülhamid Han Eğitim ve Araştırma Hastanesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye
No information available.
No information available
Received Date: 05.01.2024
Accepted Date: 19.02.2024
Publish Date: 06.05.2024
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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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