Цитата:
Сообщение от Ostap
Вводит ли кто-нибудь что-нибудь в "луч" для профилактики спазма?
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Вот свежий обзор по лучевому спазму:
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Вот такой Conclusion:
"RAS is still an important problem in transradial access, and operators dedicated to this method are trying to find the best way to avoid this complication. Incidence of RAS seems to be 14.7% on the basis of current literature, but it varies depending on criteria used, premedication applied, and on sheath or catheter selection. Despite analgesia and adequate sedation, intra-arterial vasodilators remain mandatory in RAS prevention. The combination of verapamil (1.25-5 mg) and nitroglycerin (100-200 µg) can reduce RAS incidence up to 3.8%, while use of hydrophilic-coated sheaths and catheters can further reduce RAS incidence to 1%. However, the optimal spasmolytic cocktail is yet to be confirmed in further larger trials by valid spasm criteria. Small radial artery diameter, its anomalies, and low FMD seem to be the strongest predictors of RAS."