Administration of ViperSlide™ for treating severe radial artery spasm: case report and systematic review of the literature

Repanas, Theodoros I.; Christopoulos, Georgios; Brilakis, Emmanouil S.

doi:10.1016/j.carrev.2015.02.008

Cited by 13 publications

(4 citation statements)

References 15 publications

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“…Although we have no personal experience, adjunctive use of intra-arterial lubricants into the radial sheath such as Viperslide (Cardiovascular Systems Inc., St. Paul Minnesota) have been described in the literature. 10 Viperslide is a lubricant indicated for use of to reduce friction during use of atherectomy devices in complete total occlusion atherectomy procedures and is an emulsion of water, soybean oil (10%), egg yolk phospholipids (1.2%), glycerin (2.25%), and sodium hydroxide. 10…”

Section: Discussionmentioning

confidence: 99%

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Radial artery neuro guide catheter entrapment during mechanical thrombectomy for acute ischemic stroke: Rescue brachial plexus block

2020

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To our knowledge, radial artery catheter entrapment during mechanical thrombectomy for acute ischemic stroke using an 8 F neuro guiding catheter (.088 in ID) and successful use of a brachial plexus block has not been described in the literature. In this technical note, we describe a patient that underwent rapid and successful radial access mechanical thrombectomy for an acute right middle cerebral artery occlusion, however, during withdrawal of the Balt Ballast 0.088 inch long sheath (Balt USA, Irvine, CA, USA), radial/brachial artery entrapment was encountered. We describe a modified step-wise approach to previously published online article by Pitta et al. from 2017 SCAI communication in the management of catheter entrapment and describe the technique for ultrasound guided brachial plexus block, which helped avoid need for surgical removal.

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Section: Discussionmentioning

confidence: 99%

“…10 Viperslide is a lubricant indicated for use of to reduce friction during use of atherectomy devices in complete total occlusion atherectomy procedures and is an emulsion of water, soybean oil (10%), egg yolk phospholipids (1.2%), glycerin (2.25%), and sodium hydroxide. 10…”

Section: Discussionmentioning

confidence: 99%

Radial artery neuro guide catheter entrapment during mechanical thrombectomy for acute ischemic stroke: Rescue brachial plexus block

2020

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“…Other approaches, such as administration of Rotaglide (Boston Scientific, Natick, Massachusetts) and ViperSlide (Cardiovascular Systems, Inc.), can be utilized to relieve RAS. [16,25] The Rotaglide and ViperSlide compositions are similar, (i.e., olive oil, egg yolk, phospholipids and glycerin). [17] RAS may also be generated by feelings of horror, anxiety, and pain.…”

Section: Discussionmentioning

confidence: 99%

Novel treatment of severe radial artery spasm using “homemade sheathless technique”

Zhang

Xie²

2019

Medicine

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Rationale: Transradial access (TRA) is common for cardiac catheterization, but radial artery spasm (RAS) is suggested to be highlighted. Severe radical artery spasm could be solved by a relative novel approach called “sheathless technique,” using a Tiger diagnostic catheter. Patient concerns: A 73-year-old woman presented to our institution with a recurrent feeling of discomfort in her chest. Her electrocardiogram showed ST segment depression. Her medical history indicated arterial hypertension, diabetes, and chronic renal failure. She was on hemodialysis for 5 years for the management of renal problems. Five stents were implanted from femoral access in another hospital via 2 percutaneous coronary interventions. The patient agreed to angiography this time and wanted a more comfortable solution. Diagnosis: Recurrent exertional angina was confirmed based on the chief complaint, electrocardiogram, and history. Interventions: After a successful radial artery puncture, a 6F arterial sheath pipe and a 5F Tiger diagnostic ductus could only advance slightly because of the RAS. Glonoin and verapamil functioned with the help of the radial sheath, and systemic nitroglycerin was applied later but had a negative outcome. Warm covers were positioned on the antebrachium, but no relief was reported. The “homemade sheathless technique” was applied. The 5F tube was held, and the 6F sheath was withdrawn. A blade was used to damage the sheath in reverse, and the excess sheath tube was removed. Outcomes: The diagnostic catheter was successfully advanced to the ascending aorta, enabling left main and right coronary engagement and angiography. No significant coronary lesion was observed. The patient was discharged 3 days after angiography. Moreover, no complications were observed. A follow-up for 1 month after discharge also showed no complications. Lessons: Severe RAS causing failure of TRA is frequent in the transradial catheterization procedure. The sheathless technique may be useful in relieving spasm when other measures fail.

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“…It clearly shows that there is no significant difference in ODs of different brands and there should not be any compatibility issues with any of them. RotaGlide™ (Boston Scientific Corporation) or ViperSlide™ (Cardiovascular Systems, Inc., USA) lubricant solutions may at times help in difficult situations to facilitate the passage of large bore guide catheters that do not have hydrophilic coating . Once the guide catheter is cannulated in culprit artery lumen, the introducer sheath can be sleeved over the shaft of guide catheter to convert it into completely sheathless system (Fig.…”

Section: Discussionmentioning

confidence: 99%

“Combo” technique for the use of 7F guide catheter system during transradial approach

Patel

Shah

Pancholy

2015

Cathet Cardio Intervent

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Even a regular lumen of radial artery may create difficulty in smooth negotiation and propagation of a 7F guide catheter while performing intervention through transradial approach. We describe successive five cases of a simple and innovative "Combo" technique, which helps relatively atraumatic tracking of a 7F guide catheter through the course of arm and chest vasculature for successful completion of procedure without significant damage and local pain.

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Administration of ViperSlide™ for treating severe radial artery spasm: case report and systematic review of the literature

Cited by 13 publications

References 15 publications

Radial artery neuro guide catheter entrapment during mechanical thrombectomy for acute ischemic stroke: Rescue brachial plexus block

Radial artery neuro guide catheter entrapment during mechanical thrombectomy for acute ischemic stroke: Rescue brachial plexus block

Novel treatment of severe radial artery spasm using “homemade sheathless technique”

“Combo” technique for the use of 7F guide catheter system during transradial approach

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