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Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm
Joint Authors
Cochet, Anthony A.
Bellin, Daniel A.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 42-year-old male admitted with a non-ST elevation myocardial infarction was referred for invasive angiographic assessment.
Based on preprocedural assessment, the right radial artery approach was selected.
Despite possessing none of the consensus risk factors for radial artery spasm, in addition to receiving standard arterial spasm prophylaxis and conscious sedation, the patient suffered very severe radial artery spasm with initial catheter placement, resulting in entrapment of a 5 Fr pigtail catheter within the left ventricle.
After exhausting traditional methods for resolution of radial artery spasm, surgical intervention appeared to be the only remaining option for removal of the entrapped catheter.
Prior to committing to surgery, use of an axillary nerve block to hinder sympathetic vascular tone was suggested and attempted.
This intervention resulted in atraumatic catheter removal.
We present a case of very severe radial artery spasm refractory to customary interventions, alleviated with a novel, minimally invasive technique, which spared surgical intervention.
American Psychological Association (APA)
Cochet, Anthony A.& Bellin, Daniel A.. 2017. Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144209
Modern Language Association (MLA)
Cochet, Anthony A.& Bellin, Daniel A.. Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm. Case Reports in Cardiology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1144209
American Medical Association (AMA)
Cochet, Anthony A.& Bellin, Daniel A.. Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144209
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144209