title: Use of intra-arterial papaverine for severe arterial spasm during radial cardiac catheterization.
abstract: Coronary angiography and intervention can be performed safely using the radial artery. However, arterial spasm is often encountered and usually amenable to nitrate/verapamil therapy. Rarely, surgical intervention is required to remove catheters and wires. Intra-arterial papavarine can be used to treat severe radial artery spasm and prevent the need for urgent surgical intervention.
authors.affiliation: Department of Cardiology, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust Edgbaston, Birmingham B15 2TH, United Kingdom. faizel.osman@btinternet.com
authors.forename: Faizel
authors.initials: F
authors.lastname: Osman
authors.forename: Nigel
authors.initials: N
authors.lastname: Buller
authors.forename: Rick
authors.initials: R
authors.lastname: Steeds
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy* / Q000517:prevention & control; D010208:Papaverine / Q000627:therapeutic use*; D017534:Radial Artery / Q000187:drug effects* / Q000473:pathology; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D014665:Vasodilator Agents; D010208:Papaverine