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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Coronary Artery Disease V: Interprofessional Care01:27

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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Apical-Radial (A-R) Pulse Assessment
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IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
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Updated: Sep 19, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Managing Persistent Radial Artery Spasm During Coronary Catheterization: A Complex Case Study.

Riccardo Mager1, Carlo Gaspardone2, Rosaria Sofia1

  • 1Vita-Salute San Raffaele University, Milan, Italy.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|June 10, 2025
PubMed
Summary
This summary is machine-generated.

Persistent radial artery spasm during coronary catheterization can be managed with deep sedation and intubation when standard treatments fail. This case report proposes a step-wise approach for difficult-to-treat cases.

Keywords:
coronary catheterizationdeep sedationradial artery spasm

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access

Background:

  • Radial artery spasm is a common complication during coronary catheterization.
  • Standard pharmacotherapy is often effective, but refractory cases require alternative management strategies.

Observation:

  • A case of persistent radial artery spasm unresponsive to standard pharmacotherapy during coronary catheterization is presented.
  • Conventional treatments including vasodilators and local anesthetics were ineffective.

Findings:

  • Deep sedation, neuromuscular blockade, and orotracheal intubation were successfully employed to manage the refractory radial artery spasm.
  • This intervention allowed for the successful completion of the coronary catheterization procedure.

Implications:

  • The findings suggest a structured, step-wise approach for managing treatment-resistant radial artery spasm.
  • This adaptable strategy may improve procedural success rates in complex interventional cardiology cases.