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Radial artery spasm: reviews and updates.
Muhammad Zubair Khan1, Krunalkumar Patel2, Sona Franklin2
1Department of Internal Medicine, St Mary Medical Center, 1201 Langhorne-Newtown Rd, Langhorne, PA, 19047, USA. Muhammad.zubairkhan@stmaryhealthcare.org.
Irish Journal of Medical Science
|March 19, 2020
Summary
Transradial access (TRA) for coronary interventions reduces complications but can cause radial artery spasms (RAS). This review covers RAS definitions, causes, prediction, and management to improve patient outcomes.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Transradial access (TRA) is increasingly used for coronary interventions due to lower complication rates.
- Radial artery spasms (RAS) are a potential complication of TRA, leading to procedural challenges.
Purpose of the Study:
- To provide a comprehensive review of radial artery spasms (RAS) in the context of transradial access (TRA).
- To discuss recent advancements in the definition, incidence, pathophysiology, and management of RAS.
Main Methods:
- Literature review of recent studies on transradial access and radial artery spasms.
- Analysis of current definitions, diagnostic criteria, and etiological factors of RAS.
- Evaluation of predictive tools, safety of pharmacological interventions, and treatment strategies for RAS.
Main Results:
- TRA is associated with reduced bleeding and vascular complications compared to transfemoral access.
- RAS can increase procedure time, conversion rates to other access sites, and patient discomfort.
- Effective management strategies and 'radial cocktails' can mitigate the incidence and impact of RAS.
Conclusions:
- Understanding and managing RAS is crucial for optimizing the benefits of TRA in coronary interventions.
- Further research into predictive scoring and standardized treatment protocols for RAS is warranted.
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