1. Papaverine use for radial artery sheath entrapment
- Author
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Alberto Marrangoni, Stefano Rigattieri, Andrea Cuono, and Alessandro Sciahbasi
- Subjects
Male ,Spasm ,lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_specialty ,Percutaneous ,Vasodilator Agents ,pci ,Avulsion ,Peripheral Arterial Disease ,03 medical and health sciences ,Entrapment ,Percutaneous Coronary Intervention ,0302 clinical medicine ,Femoral access ,Internal medicine ,medicine.artery ,medicine ,Humans ,Radial artery ,Aged ,Retrospective Studies ,030304 developmental biology ,Aged, 80 and over ,0303 health sciences ,Papaverine ,papaverine ,business.industry ,sheath entrapment ,Middle Aged ,stomatognathic diseases ,radial artery ,lcsh:RC666-701 ,030220 oncology & carcinogenesis ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,Complication ,business ,Scientific Letter ,medicine.drug - Abstract
Transradial approach currently represents the preferred arterial access approach for percutaneous coronary procedures primarily due to the reduced access-site complications compared with femoral access (1). However, because of its thinner caliber and higher sensitivity to mechanical and humoral stresses than other somatic vessels, radial artery is prone to spasm (2). In general, spasm is a benign complication that can be resolved with nitrates or Ca2+-channel blockers, but in some rare cases, the spasm is so severe and prolonged that it may lead to radial sheath entrapment, with documented rare cases of radial avulsion (3).
- Published
- 2019
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