In general, spasm is a benign complication that can be resolved with nitrates or Ca 2+-channel blockers, but in some rare cases, the spasmis so severe and prolonged that it may lead to radial sheath entrapment, with documented rare cases of radial avulsion (3).
📌 3 Maddede Bu Makale
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Amaç & Hipotez:Transradial approach currently represents the preferred arterial access approach for percutaneous coronary procedures primarily due to the reduced access-site complications comparedwith femoral access (1).
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Temel Bulgular & Veri:However, because of its thinner caliberand higher sensitivity to mechanical and humoral stresses thanother somatic vessels, radial artery is prone to spasm (2).
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Sonuç & Katkı:In general, spasm is a benign complication that can be resolved with nitrates or Ca 2+-channel blockers, but in some rare cases, the spasmis so severe and prolonged that it may lead to radial sheath entrapment, with documented rare cases of radial avulsion (3).
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Özet
Transradial approach currently represents the preferred arterial access approach for percutaneous coronary procedures primarily due to the reduced access-site complications comparedwith femoral access (1). However, because of its thinner caliberand higher sensitivity to mechanical and humoral stresses thanother somatic vessels, radial artery is prone to spasm (2). In general, spasm is a benign complication that can be resolved with nitrates or Ca 2+-channel blockers, but in some rare cases, the spasmis so severe and prolonged that it may lead to radial sheath entrapment, with documented rare cases of radial avulsion (3).
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Bu Makaleye Atıf Yap
SCIAHBASI, A., CUONO, A., MARRANGONI, A., RIGATTIERI, S. (2019). Papaverine use for radial artery sheath entrapment. The Anatolian Journal of Cardiology, Cilt: 22 - Sayı: 1, 44–45. https://ajindex.com/articles/365762
Agostoni P, Biondi-Zoccai GG, de Benedictis ML, Rigattieri S, Turri M, Anselmi M, et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized trials. J Am Coll Cardiol 2004; 44: 349-56
Kristić I, Lukenda J. Radial artery spasm during transradial coronary procedures. J Invasive Cardiol 2011; 23: 527-31
Alkhouli M, Cohen HA, Bashir R. Radial artery avulsion: a rare complication of transradial catheterization. Catheter Cardiovasc Interv 2015; 85: E32-4
Goldsmit A, Kiemeneij F, Gilchrist IC, Kantor P, Kedev S, Kwan T, et al. Radial artery spasm associated with transradial cardiovascular procedures: results from the RAS registry. Catheter Cardiovasc Interv 2014; 83: E32-6
Zencirci E, Değirmencioğlu A. Catheter entrapment due to severe radial artery spasm during transradial approach. Cardiol J 2016; 23: 324-32
Nagaraja PS, Singh NG, Manjunatha N, Desai RC. Effect of Periradial Administration of Papaverine on Radial Artery Diameter. Anesth Essays Res 2017; 11: 228-32
Osman F, Buller N, Steeds R. Use of intra-arterial papaverine for severe arterial spasm during radial cardiac catheterization. J Invasive Cardiol 2008; 20: 551-2
He GW. Verapamil plus nitroglycerin solution maximally preserves endothelial function of the radial artery: comparison with papaverine solution. J Thorac Cardiovasc Surg 1998; 115: 1321-7 9. Tanyeli O, Duman I, Dereli Y, Gormus N, Toy H, Sahin AS. Relaxation matters: comparison of in-vitro vasodilatory role of Botulinum toxin-A and papaverine in human radial artery grafts. J Cardiothorac Surg 2019; 14: 15
Sorokin I, Stevens SL, Cadeddu JA. Periarterial papaverine to treat renal artery vasospasm during robot-assisted laparoscopic partial nephrectomy. J Robot Surg 2018; 12: 189-91
Rathore S, Stables RH, Pauriah M, Hakeem A, Mills JD, Palmer ND, et al. Impact of length and hydrophilic coating of the introducer sheath on radial artery spasm during transradial coronary intervention: a randomized study. JACC Cardiovasc Interv 2010; 3: 475-83