ABSTRACT

Medication cocktail Medication is administered for prevention of spasm and radial thrombosis. We combine fast-acting nitrates (isosorbide dinitrate, molsidomine) and prolonged action verapamil (3-5 mg) injected simultaneously in the radial artery through the side lumen of the introducer. Subsequently, 5000 IU heparin are injected to prevent radial thrombosis, but higher doses can be given to have an actual clotting time (ACT) > 250 seconds for some angioplasty-like carotid angioplasty stenting.