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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Main Authors: Maheedhar Gedela, Vishesh Kumar, Kashif Abbas Shaikh, Adam Stys, Tomasz Stys
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2017/8538149
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author Maheedhar Gedela
Vishesh Kumar
Kashif Abbas Shaikh
Adam Stys
Tomasz Stys
author_facet Maheedhar Gedela
Vishesh Kumar
Kashif Abbas Shaikh
Adam Stys
Tomasz Stys
author_sort Maheedhar Gedela
collection DOAJ
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.
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institution Kabale University
issn 2090-6986
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publishDate 2017-01-01
publisher Wiley
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series Case Reports in Vascular Medicine
spelling doaj-art-dfa8db18dd94445ebe5233aecad848ee2025-02-03T01:12:36ZengWileyCase 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
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
title 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_short 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
url http://dx.doi.org/10.1155/2017/8538149
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