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

1İzmir Katip Çelebi Üniversitesi, Kardiyoloji, İzmir, Turkey
2İzmir Katip Çelebi Üniversitesi, Anesteziyoloji Ve Reanimasyon, İzmir, Turkey

Keywords: radial artery, radial spasm, radial artery variations, coronary angiography

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.