Forceful removal of right radial sheath
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A 64 year-old female patient underwent a coronary angiogram through right radial artery using 6F radial sheath and 5 F Tiger catheter.
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A 64 year-old female patient underwent a coronary angiogram through right radial artery using 6F radial sheath and 5 F Tiger catheter
Authors
Maskey Arun1, Pandey Rabindra1, Malla Sabindra Bhupal1, Baniya Bibek1- Shahid Gangalal National Heart Center, Kathmandu, NEPAL
5 comments
To avoid this unwanted event we can use conscious sedation and IV verapamil 2.5 mg. Take a time of about 5-10 minutes before removal of the sheath after applying the above mentioned medication. It gives an excellent result, specially in women who are prone to develop this kind of spasm.
Complete ovulation of Radial artery is very rare but can happen specially in female sex, spasm, small size radial artery. This can be avoided by conscious sedation, GTN spray if needed complete sedation for a short while.
It should be avulsion not ovulation ( automatically word changes) , my apology for unintentional wrong words
Sometimes local addition of lignocaine also effective in addition to verapamil
Radial artery avulsion