Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal
Purpose. To report the resolution of bradycardia encountered during transradial cardiac catheterization through the catheter pullback technique in two cases. Case Report. A 62-year-old male and an 81-year-old male underwent coronary angiogram to evaluate for coronary artery disease and as a result o...
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2017-01-01
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Series: | Case Reports in Vascular Medicine |
Online Access: | http://dx.doi.org/10.1155/2017/8538149 |
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doaj-dfa8db18dd94445ebe5233aecad848ee2020-11-24T23:02:06ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942017-01-01201710.1155/2017/85381498538149Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter RemovalMaheedhar Gedela0Vishesh Kumar1Kashif Abbas Shaikh2Adam Stys3Tomasz Stys4Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USASanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USADepartment of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USASanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USASanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USAPurpose. To report the resolution of bradycardia encountered during transradial cardiac catheterization through the catheter pullback technique in two cases. Case Report. A 62-year-old male and an 81-year-old male underwent coronary angiogram to evaluate for coronary artery disease and as a result of positive stress test, respectively. Upon engagement of the FL 3.5 catheter into the ascending aorta through the transradial approach, the first case developed bradycardia with a heart rate of 39 beats per minute. The second case developed profound bradycardia with a heart rate of 25 beats per minute upon insertion of the 5 Fr FL 3.5 catheter near the right brachiocephalic trunk through the right radial access. Conclusion. Bradycardia can be subsided by removal of the catheter during catheter manipulation in patients undergoing transradial coronary angiogram if there is a suspicion of excessive stretching of aortic arch receptors and/or carotid sinus receptors.http://dx.doi.org/10.1155/2017/8538149 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maheedhar Gedela Vishesh Kumar Kashif Abbas Shaikh Adam Stys Tomasz Stys |
spellingShingle |
Maheedhar Gedela Vishesh Kumar Kashif Abbas Shaikh Adam Stys Tomasz Stys Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal Case Reports in Vascular Medicine |
author_facet |
Maheedhar Gedela Vishesh Kumar Kashif Abbas Shaikh Adam Stys Tomasz Stys |
author_sort |
Maheedhar Gedela |
title |
Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal |
title_short |
Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal |
title_full |
Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal |
title_fullStr |
Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal |
title_full_unstemmed |
Bradycardia during Transradial Cardiac Catheterization due to Catheter Manipulation: Resolved by Catheter Removal |
title_sort |
bradycardia during transradial cardiac catheterization due to catheter manipulation: resolved by catheter removal |
publisher |
Hindawi Limited |
series |
Case Reports in Vascular Medicine |
issn |
2090-6986 2090-6994 |
publishDate |
2017-01-01 |
description |
Purpose. To report the resolution of bradycardia encountered during transradial cardiac catheterization through the catheter pullback technique in two cases. Case Report. A 62-year-old male and an 81-year-old male underwent coronary angiogram to evaluate for coronary artery disease and as a result of positive stress test, respectively. Upon engagement of the FL 3.5 catheter into the ascending aorta through the transradial approach, the first case developed bradycardia with a heart rate of 39 beats per minute. The second case developed profound bradycardia with a heart rate of 25 beats per minute upon insertion of the 5 Fr FL 3.5 catheter near the right brachiocephalic trunk through the right radial access. Conclusion. Bradycardia can be subsided by removal of the catheter during catheter manipulation in patients undergoing transradial coronary angiogram if there is a suspicion of excessive stretching of aortic arch receptors and/or carotid sinus receptors. |
url |
http://dx.doi.org/10.1155/2017/8538149 |
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