Comparative study of nicorandil and a spasmolytic cocktail in preventing radial artery spasm during transradial coronary angiography

Kim, Seong Hwan; Kim, Eung Ju; Cheon, Won Seok; Kim, Min Kyu; Park, Woo Jung; Cho, Goo Yeong; Choi, Young Jin; Rhim, Chong Yun

doi:10.1016/j.ijcard.2006.10.008

Cited by 36 publications

(22 citation statements)

References 26 publications

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“…Radial artery spasms occur in 5%–10% of all subjects 21. In the present study, the incidence of radial artery spasm was <3% in each approach, and it was slightly lower than that in previous investigations 22,23. The incidence of forearm hematoma was rare and similar between the LRA and RRA.…”

Section: Discussioncontrasting

confidence: 72%

A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations

Hu¹,

Fu²,

Chen³

et al. 2014

CIA

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BackgroundThe efficacy of coronary angiography may be different in the right radial approach (RRA) and the left radial approach (LRA) due to more common vascular tortuosity in the RRA. The aim of the study was to determine whether LRA is a valid alternative for coronary angiography compared with RRA in Asian populations.MethodsThis is a single-center, prospective, randomized controlled study. A total of 1,400 consecutive patients undergoing diagnostic coronary angiography were recruited and randomized to the RRA (number [n]=700) or LRA (n=700) group. The primary end point was total procedural duration. Secondary end points included fluoroscopy time, dose of radiation including cumulative air kerma and dose area product, contrast volume, and the incidence of vascular complications.ResultsCoronary procedural success was achieved in 682 of 700 (97.4%) patients in the RRA and 680 of 700 (97.1%) in the LRA. The total procedural time (RRA 14.1±6.3 minutes versus LRA 13.2±6.0 minutes; P=0.006) and fluoroscopy time (RRA 3.8±3.3 minutes versus LRA 3.4±2.8 minutes; P=0.046) were significantly shorter via LRA in comparison to RRA. The percentage of hydrophilic wire use was also lower in the LRA group (14% [RRA] versus 10% [LRA]; P=0.016). The dose of radiation and contrast volume were not different between the two approaches. No cases of major bleeding and vascular complications requiring surgical intervention were reported, other than with one patient who experienced a symptomatic stroke and died in the RRA group compared with none in the LRA group.ConclusionThe LRA seems to be a feasible alternative for coronary angiography in Asian patients due to shorter procedural duration and fluoroscopy time, as well as less hydrophilic wire use in comparison to RRA.

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Section: Discussioncontrasting

confidence: 72%

A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations

Hu¹,

Fu²,

Chen³

et al. 2014

CIA

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“…The pooled results of these studies yielded 21% RAS rate (5 studies, 135/630) however, two studies [17,23] reported unusually high rates of RAS (71% and 52% respectively) and differed from the other studies because the verapamil dose was low (100 µg). Excluding these studies the pooled rate of RAS for the verapamil/nitroglycerin combination was 9% (3 studies, 45/483).…”

Section: Accepted Manuscriptmentioning

confidence: 94%

“…nitroglycerin was evaluated in 5 studies [16,17,[22][23][24]. The pooled results of these studies yielded 21% RAS rate (5 studies, 135/630) however, two studies [17,23] reported unusually high rates of RAS (71% and 52% respectively) and differed from the other studies because the verapamil dose was low (100 µg).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Intra-arterial vasodilators to prevent radial artery spasm: a systematic review and pooled analysis of clinical studies

Kwok

Rashid

Fraser

et al. 2015

Cardiovascular Revascularization Medicine

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“…9 Similarly, there was no significant difference between the use of Intravenous Nitroglycerin (100 mcg) or Intravenous Nitroprusside (100 mcg) alone or in combination. 10 Additionally, Nicorandil and Verapamil were found to be equally effective 11 ; unlike phentolamine which was inferior in its action.…”

Section: Spasmolytic Agentsmentioning

confidence: 99%

How to tackle complications in radial procedures: Tip and tricks

Chugh

Chugh²

2015

Indian Heart Journal

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Transradial interventions (TRI) are becoming increasingly popular because of accumulating recent evidence suggesting improved survival and reduced morbidity. Complications, though rare, do occur, especially for operators on their learning curve. The complications are best prevented by utilization of proper technique. Forearm hematoma are preventable and easy to treat, but a delay in detecting and managing them can lead to disastrous consequences compartment syndrome being the most dreaded one. This review deals with tips and tricks to prevent as also treat the common and rare complications.

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Comparative study of nicorandil and a spasmolytic cocktail in preventing radial artery spasm during transradial coronary angiography

Cited by 36 publications

References 26 publications

A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations

A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations

Intra-arterial vasodilators to prevent radial artery spasm: a systematic review and pooled analysis of clinical studies

How to tackle complications in radial procedures: Tip and tricks

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