STRATEGI PENCEGAHAN SPASME ARTERI RADIAL PADA PCI TRANSRADIAL: TINJAUAN LITERATUR SISTEMATIK

Authors

  • Mira Dwi Lantasary Universitas Strada Indonesia
  • Latifah Universitas Strada Indonesia
  • Indah Almaidah Universitas Strada Indonesia
  • Evi Nurhidayati Universitas Strada Indonesia
  • Devi Afridayanti Siregar Universitas Strada Indonesia

DOI:

https://doi.org/10.59894/jpkk.v5i4.1009

Keywords:

Radial artery spasm, Transradial access, Angiography complications, Local heating

Abstract

Background: Radial artery spasm is a common complication in transradial PCI procedures that can hinder procedural success and increase patient risk. Therefore, preventing radial artery spasm is crucial to improving procedural outcomes.

Objective: This systematic literature review aims to evaluate various strategies for preventing radial artery spasm during transradial PCI, including both pharmacological and non-pharmacological interventions.

Methods: This systematic literature review follows the PRISMA guidelines, with article searches conducted in three major databases (PubMed, Scopus, Google Scholar) for studies published between 2016 and 2025. Inclusion criteria were studies addressing the prevention of radial artery spasm and the interventions used to prevent such complications.

Results: The use of spasmolytic agents, such as nitroglycerin and verapamil, has proven effective in reducing radial artery spasm. On the other hand, local heating with infrared emitters also shows potential for improving artery diameter and reducing procedure duration, although its effects are more gradual. A multimodal approach combining pharmacological and non-pharmacological therapies provides the best results in preventing radial artery spasm.

Conclusion: Preventing radial artery spasm in transradial PCI requires a comprehensive approach, combining both pharmacological and non-pharmacological therapies. Local heating can be an effective additional option; however, further research is needed to validate long-term outcomes and improve transradial PCI results.

References

Akhter, Asad S., Richard Gumina, and Shahid Nimjee. 2022. “Sublingual Nitroglycerin Administration to Relieve Radial Artery Vasospasm and Retrieve Wedged Catheter: A Consideration in Neuroangiography.” Stroke: Vascular and Interventional Neurology 2(2): 2021–23. doi:10.1161/svin.121.000155.

Al-Hakim, Ramsey, J. Cody Hedge, Younes Jahangiri, John A. Kaufman, Roberto Galuppo, and Khashayar Farsad. 2019. “Palmar Warming for Radial Artery Vasodilation to Facilitate Transradial Access: A Randomized Controlled Trial.” Journal of Vascular and Interventional Radiology 30(3): 421–24. doi:10.1016/j.jvir.2018.10.021.

Aoun, Joe, Laith Hattar, Khabib Dgayli, Gordon Wong, and Tariq Bhat. 2019. “Update on Complications and Their Management during Transradial Cardiac Catheterization.” Expert Review of Cardiovascular Therapy 17(10): 741–51. doi:10.1080/14779072.2019.1675510.

Asef, Somaye, Seyyed Ali Moezi, Ahmad Nasiri, and Bahare Zarei. 2024. “The Effects of Local Heating on Facilitating Radial Angiography: A Randomized Controlled Trial.” Iranian Journal of Nursing and Midwifery Research 29(6): 685–90. doi:10.4103/ijnmr.ijnmr_181_22.

Byrne, Robert A., Xavier Rossello, J. J. Coughlan, Emanuele Barbato, Colin Berry, Alaide Chieffo, Marc J. Claeys, et al. 2023. “2023 ESC Guidelines for the Management of Acute Coronary Syndromes.” European Heart Journal 44(38): 3720–3826. doi:10.1093/eurheartj/ehad191.

Cheng, Jem L., and Maureen J. MacDonald. 2018. “Effect of Heat Stress on Vascular Outcomes in Humans.” Journal of Applied Physiology 126(3): 771–81. doi:10.1152/japplphysiol.00682.2018.

Chugh, Sanjay Kumar, Yashasvi Chugh, and Sunita Chugh. 2015. “How to Tackle Complications in Radial Procedures: Tip and Tricks.” Indian Heart Journal 67(3): 275–81. doi:10.1016/j.ihj.2015.05.016.

Dadu, Razvan Tudor, Mostafa El-Refai, Ana Davis, Jaromir Bobek, I-Hui Chiang, Mahboob Alam, and Nasser Lakkis. 2016. “Impact of Shorter Door To Balloon Time on Left Ventricular Ejection Fraction in Stemi Patients Who Present Early To Hospital.” Journal of the American College of Cardiology 67(13): 657. doi:10.1016/s0735-1097(16)30658-1.

Mason, Peter J., Binita Shah, Jacqueline E. Tamis-Holland, John A. Bittl, Mauricio G. Cohen, Jordan Safirstein, Douglas E. Drachman, et al. 2018. “An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome: A Scientific Statement from the American Heart Association.” Circulation: Cardiovascular Interventions 11(9): 1–21. doi:10.1161/HCV.0000000000000035.

Park, Seyeon, Kim Hye-Jin, Wonjae Heo, Shin Sang-Wook, Yoon Ji-Uk, Byeon Gyeong-Jo, Jimin Lee, Jieun Jung, and Hee Young Kim. 2023. “Effect of Local Warming for Arterial Catheterization in Adult Cardiac Surgery: A Randomized Controlled Trial.” Journal of Thoracic Disease 15(10): 5330–39. doi:10.21037/jtd-23-820.

Roberge, Raymond J. 2004. “Venodilatation Techniques to Enhance Venepuncture and Intravenous Cannulation.” Journal of Emergency Medicine 27(1): 69–73. doi:10.1016/j.jemermed.2004.02.011.

Tarighatnia, Ali, Amir Hossein Mohammad Alian, Morteza Ghojazadeh, and Alir Reza Farajollahi. 2016. “Comparison of the Patient Radiation Exposure during Coronary Angiography and Angioplasty Procedures Using Trans-Radial and Trans-Femoral Access.” Journal of Cardiovascular and Thoracic Research 8(2): 77–82. doi:10.15171/jcvtr.2016.15.

Yamagami, Yuki, Tomomi Tsujimoto, and Tomoko Inoue. 2018. “How Long Should Local Warming for Venodilation Be Used for Peripheral Intravenous Cannulation? A Prospective Observational Study.” International Journal of Nursing Studies 79(November 2017): 52–57. doi:10.1016/j.ijnurstu.2017.11.004.

Zus, Adrian Sebastian, Simina Crișan, Silvia Luca, Daniel Nișulescu, Mihaela Valcovici, Oana Pătru, Mihai Andrei Lazăr, et al. 2024. “Radial Artery Spasm—A Review on Incidence, Prevention and Treatment.” Diagnostics 14(17): 1–16. doi:10.3390/diagnostics14171897

Downloads

Published

2025-07-31

How to Cite

Mira Dwi Lantasary, Latifah, Indah Almaidah, Evi Nurhidayati, & Afridayanti Siregar, D. (2025). STRATEGI PENCEGAHAN SPASME ARTERI RADIAL PADA PCI TRANSRADIAL: TINJAUAN LITERATUR SISTEMATIK. Jurnal Penelitian Keperawatan Kontemporer, 5(4). https://doi.org/10.59894/jpkk.v5i4.1009

Issue

Section

Articles