Intractable Spasm in a Hypoplastic Brachioradial Artery During Coronary Angiography: A Last Chance Before Surgery

Sadık Volkan Emren1, Emre Özdemir1, Senem Girgin2, Muhammet Mücahit Tiryaki1, Murat Aksun2, Cem Nazlı1

1Department of Cardiology, Faculty of Medicine, University of Izmir Katip Celebi, Izmir, Turkey
2Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Izmir Katip Celebi, Izmir, Turkey

Keywords: Coronary angiography; radial artery; radial artery variations; radial spasm

Abstract

For the past several years coronary angiography through radial artery has been preferred vascular access over femoral artery due to the favorable outcomes. However radial access has also rare drawbacks. One of the main complications of radial approach is vascular spasm. Although radial spasm can easily be resolved with various intervention, rarely it may be intractable in particular anatomic variations. These patients might be needed advanced treatment methods to overcome vasospasm. In this paper we report an intractable spasm in a hypoplastic radial artery during angiography which could only be resolved by neuraxial blockage after failure of conventional treatments.

Peer Review

Externally peer-reviewed.

Author Contributions

Concept/Design - MA, CN; Data Collection - MT; Writing - SE; Final Approval - All of Authors.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.