Author + information
- Suleyman Ercan, MD∗ (, )
- Vedat Davutoglu, MD and
- Murat Yuce, MD
- ↵∗Department of Cardiology, School of Medicine, Gaziantep University, 27310/Gaziantep, Turkey
In a recent study, Deftereos et al. (1) conclude that pre-procedural administration of opioid analgesia combined with sedation (fentanyl and midazolam) significantly reduced the incidence of radial artery spasm during transradial procedures. We agree with their findings. Recently, we conducted a study revealing the relationship between vasospasm during radial artery approach and anxiety score (2). We found that higher anxiety scores and female sex are risk factors for radial artery vasospasm during percutaneous radial interventions. Although Deftereos et al. (1) did not assess the anxiety score, their study implicates a possible role of sedation in preventing radial artery spasm during the procedure. We thought that elimination of anxiety, especially in anxious patients, by means of opioid analgesia combined with sedation (fentanyl and midazolam) could significantly decrease the radial artery spasm during transradial procedures.
Note: The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- American College of Cardiology Foundation
- Deftereos S.,
- Giannopoulos G.,
- Raisakis K.,
- et al.
- ↵Ercan S, Unal A, Altunbas G, et al. Anxiety score as a risk factor for radial artery vasospasm during radial interventions: a pilot study. Angiology. 2013 May 8. [Epub ahead of print]. DOI: 10.1177/0003319713488931