Balloon-Assisted Tracking to Overcome Radial Spasm during Transradial Coronary Angiography: A Case Report

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Access

Background:

• Radial artery spasm is a primary cause of transradial coronary angiography failure.
• Standard spasmolytic cocktails are contraindicated in patients with aortic stenosis or reduced left ventricular function.

Purpose of the Study:

• To describe a technique for managing severe radial artery spasm during transradial coronary angiography.
• To present a case in a patient with moderate aortic valve stenosis.

Main Methods:

• A case report detailing the application of a recently published technique.
• Transradial coronary angiography performed in a patient with moderate aortic valve stenosis and severe radial spasm.

Main Results:

• The described technique successfully overcame severe radial artery spasm.
• The transradial coronary angiography was successfully completed despite patient comorbidities.

Conclusions:

• This technique offers a viable solution for radial artery spasm in high-risk patients.
• It expands the utility of transradial approach in patients with contraindications to standard spasmolytic agents.