ArticleBMC cardiovascular disorders2023
Clinical predictors and management for radial artery spasm: an Australian cross-sectional study.
Article in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Sedation Strategy, Procedural Comfort, and Clinically Detected Radial Artery Spasm During Transradial Coronary Angiography: A Prospective Observational Study.Journal of clinical medicine · 2026Article
- The Impact of Intravenous Versus Intra-Arterial Heparin Administration on Radial Artery Spasm During Transradial Coronary Angiography.Diagnostics (Basel, Switzerland) · 2026Article
- The Wrist Circumference-to-Body Mass Index Ratio for Preprocedural Risk Stratification of Radial Artery Spasm in Transradial Coronary Angiography and Percutaneous Coronary Intervention.Diagnostics (Basel, Switzerland) · 2026Article
- Retrospective Analysis of Angiographic Radial Artery Spasm Predictors.Life (Basel, Switzerland) · 2025Article
- Managing Persistent Radial Artery Spasm During Coronary Catheterization: A Complex Case Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025Article
- Article
- Clinical study on bronchial artery chemoembolization for unresectable non-small cell lung cancer.Frontiers in oncology · 2025Article
- Radial Artery Spasm-A Review on Incidence, Prevention and Treatment.Diagnostics (Basel, Switzerland) · 2024Review
- Radial artery spasms - angiographic morphology, risk factors and management.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024Article
- Bypass Grafts in Women: What Is the Gold Standard?Texas Heart Institute journal · 2024Article
- Association of endothelial nitric oxide synthase (Glu298Asp) gene polymorphism with radial artery spasm during cardiac catheterization in Egyptians.Molecular biology reports · 2023Article
- Correction: Clinical predictors and management for radial artery spasm: an Australian cross‑sectional study.BMC cardiovascular disorders · 2023Article
- Efficacy and adverse reaction management of oncolytic viral intervention combined with chemotherapy in patients with liver metastasis of gastrointestinal malignancy.Frontiers in oncology · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe transradial approach for coronary artery catheterisation has increased in popularity compared to the transfemoral approach for patients undergoing percutaneous coronary interventions. However, radial artery spasm continues to be a major complication of the procedure. Current management strategies vary concerning radial artery spasm and there is limited evidence of practice in the Australian context.
aimTo identify the predictors of radial artery spasm and the medications used for its prevention and management.
methodsA descriptive cross-sectional study was carried out over a three-month period in two tertiary hospitals in NSW, Australia. A self-administered pre-procedural survey was completed by patients undergoing coronary artery catheterisation. This survey collected socio-demographic data and assessed anxiety using the Spielberger State-Trait Anxiety Inventory. Procedural data, including length of procedure, equipment used, occurrence of radial artery spasm, and medications given, were collected post-procedure by the interventionalist.
resultsOf the 169 participants, over half were male (59.8%) and aged 66 years or older (56.8%). Radial artery spasm was reported in 24 (14.2%) participants. Rates of spasm were significantly higher among females (66.6%, p = 0.004), those aged under 65 years (62.5%, p = 0.001) and those who reported a medical history of anxiety (33.3%, p = 0.0004). There were no significant differences in State and Trait anxiety scores among those who had RAS and those who did not. Logistic regression identified younger age as the only statistically significant predictor of RAS (OR 0.536; 95% CI 0.171-1.684; p = 0.005). To prevent radial artery spasm most patients received midazolam (n = 158; 93.5%), nitrates (n = 133; 78.7%) and/or fentanyl (n = 124; 73.4%) prophylactically. Nitrates were the most frequently administered medication to treat radial artery spasm (78.7%).
conclusionThis study highlights that there is a need to develop a clearer understanding of the predictors of RAS, as identifying patients at risk can ensure prophylactic measures are implemented. This study identified nitrates as the preferred vasodilator as a preventative measure along with the use of sedation.
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