Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm
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...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/8487056 |
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| _version_ | 1832556376730107904 |
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| author | Anthony A. Cochet Daniel A. Bellin |
| author_facet | Anthony A. Cochet Daniel A. Bellin |
| author_sort | Anthony A. Cochet |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-fe8e97007e98494981a38bd55a74684f |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-fe8e97007e98494981a38bd55a74684f2025-02-03T05:45:41ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/84870568487056Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery SpasmAnthony A. Cochet0Daniel A. Bellin1Department of Medicine, Cardiology Division, Brooke Army Medical Center, Ft. Sam Houston, TX, USADepartment of Medicine, Cardiology Division, Brooke Army Medical Center, Ft. Sam Houston, TX, USAA 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.http://dx.doi.org/10.1155/2017/8487056 |
| spellingShingle | Anthony A. Cochet Daniel A. Bellin Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm Case Reports in Cardiology |
| title | Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm |
| title_full | Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm |
| title_fullStr | Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm |
| title_full_unstemmed | Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm |
| title_short | Surgery Averted Using a Novel, Minimally Invasive Approach to Treat Very Severe Radial Artery Spasm |
| title_sort | surgery averted using a novel minimally invasive approach to treat very severe radial artery spasm |
| url | http://dx.doi.org/10.1155/2017/8487056 |
| work_keys_str_mv | AT anthonyacochet surgeryavertedusinganovelminimallyinvasiveapproachtotreatverysevereradialarteryspasm AT danielabellin surgeryavertedusinganovelminimallyinvasiveapproachtotreatverysevereradialarteryspasm |