使用Rotaglide™溶液治疗难治性严重桡动脉痉挛：一例报告。

Administration of Rotaglide™ solution for treating refractory severe radial artery spasm: A case report.

作者信息

Raje Vikram, Christopher Sanah, Hopkinson Dennis A, Kania Danielle A, Jovin Ion S

机构信息

Department of Medicine/Cardiology, Virginia Commonwealth University, Richmond, VA, United States; Department of Medicine/Cardiology, McGuire Veterans Affairs Medical Center, Richmond, VA, United States.

出版信息

Cardiovasc Revasc Med. 2018 Dec;19(8S):56-57. doi: 10.1016/j.carrev.2018.05.001. Epub 2018 May 5.

DOI:10.1016/j.carrev.2018.05.001

PMID:29779974

Abstract

Severe radial artery spasm is a complication of transradial cardiac catheterization. We describe a case of severe radial artery spasm causing catheter entrapment. The spasm was refractory and resistant to intra-arterial vasodilators, systemic vasodilators, and moderate sedation. Rotaglide™ (Boston Scientific, Marlborough, MA) solution via continuous infusion was delivered through the catheter and then the sheath, resolving the spasm and allowing the removal of the catheter and sheath without injury to the radial artery.

摘要

严重桡动脉痉挛是经桡动脉心脏导管插入术的一种并发症。我们描述了一例导致导管嵌顿的严重桡动脉痉挛病例。该痉挛难以控制，对动脉内血管扩张剂、全身血管扩张剂及适度镇静均无反应。通过导管然后经鞘管持续输注Rotaglide™（波士顿科学公司，马尔伯勒，马萨诸塞州）溶液，解除了痉挛，使得导管和鞘管得以移除，且未损伤桡动脉。