Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography

نویسندگان

چکیده

BACKGROUND Radial artery spasm is a common hinderance during transradial approaches for neuroangiography. Ways of alleviation have been described, including patient sedation, local lidocaine, or even prophylactic administration intra‐arterial vasodilators. METHODS We present case wedged catheter attributable to radial spasm, which failed all conventional methods relieve spasm. RESULTS The was ultimately removed after sublingual nitroglycerin. CONCLUSION To our knowledge, this the first time nitrogen has reported as an effective means alleviate approach

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Radial artery graft vasospasm.

We report an unusual case of vasospasm of a grafted radial artery complicated with ventricular fibrillation during the postoperative course of coronary artery bypass graft surgery. To our knowledge this is the first documented case of a radial artery graft spasm leading to a severe arrhythmia. The arrhythmia resolved spontaneously. Radial artery graft spasm was demonstrated by angiography and w...

متن کامل

Effects of Sublingual Nitroglycerin

I. Moss AJ, Rivers RJ Jr, Griffith LSC, Carmel JA, Millard EB Jr: Transvenous left atrial pacing for the control of recurrent ventricular fibrillation. N Engl J Med 278: 928, 1968 2. Moss AJ, Rivers RJ Jr, Cooper M: Long-term pervenous atrial pacing from the proximal portion of the coronary vein. JAMA 209: 543, 1969 3. Kramer DH, Moss AJ: Permanent pervenous atrial pacing from the coronary vein...

متن کامل

Blood levels after sublingual nitroglycerin.

Pharmacokinetic analysis of nitroglycerin (GTN) has been hampered by the lack of a sensitive and specific method for measuring GTN in blood. Therefore, we examined the appearance of GTN in blood after administering 0.6 mg sublingually in 10 studies of normal volunteers. We used a gas-liquid chromatographic method with electron-capture detection and isosorbide dinitrate as the internal standard....

متن کامل

Heparin administration and monitoring for neuroangiography.

PURPOSE To establish the optimal protocol of heparin administration during interventional neuroradiology. METHODS We assessed 100 cases of neuroangiography, including endovascular surgery, and measured activated coagulation time before and 5 minutes after heparin administration, and before and 5 minutes after protamine neutralization. In some cases actual heparin concentration was assayed usi...

متن کامل

3.3F catheter/sheath system for use in diagnostic neuroangiography.

BACKGROUND AND PURPOSE Although neuroangiography remains the criterion standard standard for the detection of and surgical/interventional planning for cerebrovascular diseases, it usually requires that patients be confined to bed rest for several hours after angiography to prevent local complications. Decreasing catheter size has reduced the risk of hemorrhagic complications associated with ear...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Stroke: vascular and interventional neurology

سال: 2022

ISSN: ['2694-5746']

DOI: https://doi.org/10.1161/svin.121.000155