Balloon-Assisted Tracking to Overcome Radial Spasm during Tr
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Abstract
Spasm of the radial artery is the most important cause of failure to perform coronary angiography via the transradial approach. Spasmolytic cocktail may prevent radial artery spasm but is relatively contraindicated in patients with aortic stenosis or diminished left ventricular function. In this case report we describe a recently published technique to overcome severe radial spasm during transradial coronary angiography in a patient with moderate aortic valve stenosis.

Case
A 70-year-old male patient was referred for coronary angiography because of chest pain on exertion. In preceding years, he visited our outpatient department for echocardiographic follow-up of a moderate aortic valve stenosis. During the last visit he expressed typical anginal complaints while echocardiographic evaluation of the aortic valve displayed a stable function.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008174/
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