Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography
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 of intra‐arterial vasodilators. Methods We present a case of a wedged ca...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-03-01
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| Series: | Stroke: Vascular and Interventional Neurology |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.121.000155 |
| _version_ | 1797948410651738112 |
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| author | Asad S. Akhter Richard Gumina Shahid Nimjee |
| author_facet | Asad S. Akhter Richard Gumina Shahid Nimjee |
| author_sort | Asad S. Akhter |
| collection | DOAJ |
| description | 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 of intra‐arterial vasodilators. Methods We present a case of a wedged catheter attributable to radial artery spasm, which failed all conventional methods to relieve spasm. Results The catheter was ultimately removed after administration of sublingual nitroglycerin. Conclusion To our knowledge, this is the first time sublingual nitrogen has been reported as an effective means to alleviate radial artery spasm during a transradial approach for neuroangiography. |
| first_indexed | 2024-04-10T21:42:51Z |
| format | Article |
| id | doaj.art-b025f10906f34dde8a6875e97c1a6e59 |
| institution | Directory Open Access Journal |
| issn | 2694-5746 |
| language | English |
| last_indexed | 2024-04-10T21:42:51Z |
| publishDate | 2022-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj.art-b025f10906f34dde8a6875e97c1a6e592023-01-18T21:38:14ZengWileyStroke: Vascular and Interventional Neurology2694-57462022-03-012210.1161/SVIN.121.000155Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in NeuroangiographyAsad S. Akhter0Richard Gumina1Shahid Nimjee2The Ohio State University Wexner Medical Center Columbus OHThe Ohio State University Columbus OHThe Ohio State University Medical Center Columbus OHBackground 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 of intra‐arterial vasodilators. Methods We present a case of a wedged catheter attributable to radial artery spasm, which failed all conventional methods to relieve spasm. Results The catheter was ultimately removed after administration of sublingual nitroglycerin. Conclusion To our knowledge, this is the first time sublingual nitrogen has been reported as an effective means to alleviate radial artery spasm during a transradial approach for neuroangiography.https://www.ahajournals.org/doi/10.1161/SVIN.121.000155 |
| spellingShingle | Asad S. Akhter Richard Gumina Shahid Nimjee Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography Stroke: Vascular and Interventional Neurology |
| title | Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography |
| title_full | Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography |
| title_fullStr | Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography |
| title_full_unstemmed | Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography |
| title_short | Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography |
| title_sort | sublingual nitroglycerin administration to relieve radial artery vasospasm and retrieve wedged catheter a consideration in neuroangiography |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.121.000155 |
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