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E-ISSN: 2980-261X
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.

References

1
Ruiz-Rodriguez E, Asfour A, Lolay G, Ziada KM, Abdel-Latif AK. Systematic Review and Meta-Analysis of Major Cardiovascular Outcomes for Radial Versus Femoral Access in Patients With Acute Coronary Syndrome. South Med J 2016;109(1):61-76.
2
Kolkailah AA, Alreshq RS, Muhammed AM, Zahran ME, Anas El-Wegoud M, Nabhan AF. Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. Cochrane Database Syst Rev 2018;4(4):CD012318.
3
He GW, Yang Q, Yang CQ. Smooth muscle and endothelial function of arterial grafts for coronary artery bypass surgery. Clin Exp Pharmacol Physiol 2002;29(8):717-720.
4
Caputo RP, Tremmel JA, Rao S, Gilchrist IC, Pyne C, Pancholy S, et al. Transradial arterial access for coronary and peripheral procedures: executive summary by the Transradial Committee of the SCAI. Catheter Cardiovasc Interv 2011;78(6):823-839.
5
Curtis E, Fernandez R, Khoo J, Weaver J, Lee A, Halcomb L. Clinical predictors and management for radial artery spasm: an Australian cross-sectional study. BMC Cardiovasc Disord 2023;23(1):33.
6
Doubell J, Kyriakakis C, Weich H, Herbst P, Pecoraro A, Moses J, et al. Radial artery dilatation to improve access and lower complications during coronary angiography: the RADIAL trial. EuroIntervention 2021;16(16):1349-1355.
7
Ünal S, Açar B, Yayla Ç, Balci MM, Ertem AG, Kara M, et al. Manual heating of the radial artery (Balbay maneuver) to facilitate radial puncture prior to transradial coronary catheterization. Rev Port Cardiol 2017;36(6):409-414.
8
Barçin C, Kurşaklioğlu H, Köse S, Amasyali B, Işik E. Resistant radial artery spasm during coronary angiography via radial approach responded to local warm compress. Anadolu Kardiyol Derg 2010;10(1):90-91.
9
Koca F, Levent F, Demir ÖF, Kat N, Tenekecioglu E. Does the Use of Ethyl Chloride Spray Facilitate Radial Angiography? Angiology 2024;75(1):22-28.