Reversal of Severe Vasospasm Causing Transradial Angiogram Catheter Entrapment By Low Dose Sedation

Authors : Ertuğrul ZENCİRCİ, Aleks DEĞİRMENCİOĞLU, Gültekin KARAKUL

Pages : 110-112

View : 25 | Download : 11

Publication Date : 2015-06-01

Article Type : Other Papers

Abstract :One of the major disadvantages of the transradial approach during cardiac interventions is radial artery spasm. Severe vasospasm of the radial artery causing catheter entrapment is less frequently encountered and its management has rarely been reported. Herein, a 72-year-old female patient who was scheduled for an elective left heart catheterization due to exertional angina pectoris is reported. During transradial diagnostic coronary angiography, catheter entrapment occurred due to severe vasospasm of the radial artery. Reversal of severe vasospasm and release of entrapped catheter was not possible until low dose sedation with intravenous midazolam was given. This case report demonstrates that low dose sedation with intravenous midazolam could be used effectively to reverse resistant vasopasm of the radial artery during transradial interventions
Keywords : catheter entrapment, sedation, transradial approach