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RAS, Excision of Avulsed Fragment, and Uncompromised Flow

Dimitrios Karelas, MD, MSc
Nikolaos Platogiannis, MD, MSc
John Papanikolaou, MD, PhD
Spyridon Kostantinis, MD
04/03/2023

Video Supplement to "Radial Artery Spasm, Excision of Avulsed Fragment and Uncompromised Flow: An Oxymoron in Invasive Cardiology" by Karelas, et al (April 2023 Clinical Images).

A  63-year-old man with a history of smoking, panic attacks, and positive treadmill test was referred for invasive coronary angiography (CA). By a right radial artery (RA) approach, there was difficulty advancing the 6-Fr sheath and the standard guidewire. The patient complained of intense pain, anxiety, and discomfort. Fluoroscopy depicted severe RA spasm (RAS).


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