Propofol to relieve radial artery spasm

Raut, Monish S; Mantri, R.R.; Sharma, Manish; Maheshwari, Arun

doi:10.1016/j.ihj.2016.03.003

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…27 Raut et al reported a case that a severe RAS could only be relieved by administration of intravenous propofol where midazolam and opioids failed. 28 In our study, RAS occurred more frequently in female patients, but it could not be established as an independent predictor. Female patients also expressed higher LOA according to BAI and SSAI questionnaires, and in entire sample population, having significant anxiety regarding SSAI scale was an independent predictor of RAS.…”

Section: Discussioncontrasting

confidence: 77%

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Omaygenç¹,

Karaca²,

İbişoğlu³

et al. 2019

Turkiye Klinikleri J Cardiovasc Sci

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Section: Discussioncontrasting

confidence: 77%

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Omaygenç¹,

Karaca²,

İbişoğlu³

et al. 2019

Turkiye Klinikleri J Cardiovasc Sci

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Radial Artery Access Complications: Prevention, Diagnosis and Management

Roy

Kabach

Patel

et al. 2022

Cardiovascular Revascularization Medicine

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Severe radial artery spasm causing entrapment of the Terumo radial to peripheral destination slender sheath: a case report

Nazir

Nesheiwat

Syed

et al. 2020

European Heart Journal - Case Reports

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Background Radial access for lower-extremity peripheral vascular interventions (PVIs) has been limited due to inadequate equipment lengths. The Terumo R2P Destination Slender sheath is a relatively new sheath designed for these interventions. However, complications related to this sheath or access strategy for lower-extremity PVI have not been reported. Case summary A 69-year-old woman presented with purple discolouration of her 1st and 5th toes of the left foot for approximately 1 month. Lower-extremity arterial duplex ultrasound showed mid left superficial femoral artery (SFA) greater than 90% stenosis. Peripheral angiogram was performed via the left radial artery and this confirmed the presence of severe left SFA stenosis. Intra-arterial vasodilators including verapamil and nitroglycerine were administered to prevent radial artery spasm. Next, we attempted to deliver the Terumo 6-Fr R2P Destination Slender 119 cm sheath for the interventional procedure. However, the sheath became stuck at the level of mid axillary artery due to severe radial artery spasm. Despite use of intra-arterial vasodilators, deep sedation with propofol, and gentle retraction, the sheath could not be removed and eventually broke requiring surgical removal. Discussion This case demonstrates severe radial artery spasm causing sheath entrapment that required emergency surgery for sheath removal. Unfortunately, the sheath could not be removed despite typical manoeuvres for severe spasm including intra-arterial vasodilators and deep sedation with propofol. Physicians performing PVIs via radial access need to be aware of this potentially serious complication.

show abstract

Propofol to relieve radial artery spasm

Cited by 5 publications

References 13 publications

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Radial Artery Access Complications: Prevention, Diagnosis and Management

Severe radial artery spasm causing entrapment of the Terumo radial to peripheral destination slender sheath: a case report

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