Effects of subcutaneously infiltrated nitroglycerin on diameter, palpability, ease-of-puncture and pre-cannulation spasm of radial artery during transradial coronary angiography

Ezhumalai, Babu; Satheesh, Santhosh; Jayaraman, Balachander

doi:10.1016/j.ihj.2014.05.023

Cited by 28 publications

(34 citation statements)

References 21 publications

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“…This was associated with the lower incidence of arterial spasm and improved palpability. Also, a number of punctures and insertion time were lower when NTG was added to lignocaine versus lignocaine-saline mixture (Ezhumalai et al 2014).…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Sonographic evaluation of peri-arterial nitroglycerine for radial artery cannulation in morbidly obese patients: a prospective randomized study

Hefnawy

Alrefaey

2018

Ain-Shams J Anesthesiol

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Background: Arterial cannulation is usually indicated for both sampling and invasive pressure monitoring. Radial artery access is increasingly favored over other sites for arterial cannulation. However, radial cannulation in morbidly obese patients is an anesthetic challenge. This study evaluates the effect of subcutaneous infiltration of nitroglycerine on radial artery cannulation in morbidly obese patients. Sixty patients were randomly allocated into two equal groups according to subcutaneous infiltrate used before radial artery cannulation. In the LN group, the syringe contains 0.2 ml of nitroglycerine (NTG) plus 0.8 ml lidocaine hydrochloride 2%, while in L group, the syringe is filled with 1 ml of lignocaine 2%. Results: Subcutaneous infiltration of the lignocaine-NTG mixture in the LN group resulted in a significant increase in arterial dimensions in comparison to lignocaine alone in the L group. Consequently, a significantly higher overall success rate, first attempt success was observed in the LN group. Also, insertion time and number of attempts were significantly lower in the LN group in relation to the L group. Conclusions: Subcutaneous infiltration of nitroglycerin mixed with a lignocaine before ultrasound-guided radial artery cannulation increases the procedure success rate with no detected side effects.

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Section: Discussionmentioning

confidence: 93%

“…Multiple techniques have been studied either to facilitate difficulties with radial artery catheterization in morbid obese or to decrease procedure-related complications, especially arterial spasm (Ezhumalai 2016;Turan et al 2016;Ezhumalai et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Sonographic evaluation of peri-arterial nitroglycerine for radial artery cannulation in morbidly obese patients: a prospective randomized study

Hefnawy

Alrefaey

2018

Ain-Shams J Anesthesiol

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“…Administration of topical lidocaine and nitroglycerin at least 30 min prior to puncture has been shown prospectively to increase the diameter of the radial artery and facilitate TRA 41. In addition, subcutaneously administered nitroglycerin has similarly shown benefit in facilitating TRA 42 43…”

Section: Transradial Arterial Accessmentioning

confidence: 99%

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

Starke

Snelling

Al‐Mufti

et al. 2019

J NeuroIntervent Surg

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The purpose of this publication is to provide a comprehensive review on the techniques and tools used for vascular access in neurointerventional procedures. Using published literature, we reviewed data on access methods, sites, tools, and techniques for neurointerventions. Recommendations are provided based on quality of data/levels of evidence and, where appropriate, expert consensus. While tools and techniques continue to be developed, current literature and experience supports certain principles regarding vascular access for neurointerventional procedures.

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“…The administration of vasodilators before puncture could reduce the incidence of RAS. Sublingual NTG before puncture was reported to reduce times and duration of puncture [10], and subcutaneously infiltrated NTG was used to increase the radial diameter, palpability and success rate of radial artery puncture [26]. Furthermore, a wait-and-watch strategy was applied for recovery from RAS in another study [11].…”

Section: Fmd -Flow Mediated Dilation; Ntg -Nitroglycerinmentioning

confidence: 99%

Flow-mediated dilatation to relieve puncture-induced radial artery spasm: A pilot study

Ying

Gong

et al. 2018

Cardiol J.

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Effects of subcutaneously infiltrated nitroglycerin on diameter, palpability, ease-of-puncture and pre-cannulation spasm of radial artery during transradial coronary angiography

Abstract: Subcutaneously infiltrated nitroglycerin leads to significant vasodilation of radial artery. This avoids pre-cannulation spasm of radial artery, enhances palpability of the radial pulse and thus makes the puncture of radial artery easier.

Cited by 28 publications

References 21 publications

Sonographic evaluation of peri-arterial nitroglycerine for radial artery cannulation in morbidly obese patients: a prospective randomized study

Sonographic evaluation of peri-arterial nitroglycerine for radial artery cannulation in morbidly obese patients: a prospective randomized study

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

Flow-mediated dilatation to relieve puncture-induced radial artery spasm: A pilot study

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