Page last updated: 2024-11-02

papaverine and Graft Occlusion, Vascular

papaverine has been researched along with Graft Occlusion, Vascular in 12 studies

Papaverine: An alkaloid found in opium but not closely related to the other opium alkaloids in its structure or pharmacological actions. It is a direct-acting smooth muscle relaxant used in the treatment of impotence and as a vasodilator, especially for cerebral vasodilation. The mechanism of its pharmacological actions is not clear, but it apparently can inhibit phosphodiesterases and it may have direct actions on calcium channels.
papaverine : A benzylisoquinoline alkaloid that is isoquinoline substituted by methoxy groups at positions 6 and 7 and a 3,4-dimethoxybenzyl group at position 1. It has been isolated from Papaver somniferum.

Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.

Research Excerpts

ExcerptRelevanceReference
"This study is planned bringing about a new choice for the prophylaxis of RA spasm which is topical iloprost and compares its efficacy with papaverine and diltiazem."9.12An alternative agent for radial arterial graft spasm: application of topical iloprost. ( Besogul, Y; Ikizler, M; Karakaya, A; Ozdemir, C; Sirmagul, B, 2007)
"This study is planned bringing about a new choice for the prophylaxis of RA spasm which is topical iloprost and compares its efficacy with papaverine and diltiazem."5.12An alternative agent for radial arterial graft spasm: application of topical iloprost. ( Besogul, Y; Ikizler, M; Karakaya, A; Ozdemir, C; Sirmagul, B, 2007)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19902 (16.67)18.7374
1990's7 (58.33)18.2507
2000's3 (25.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Yoshizaki, T1
Tabuchi, N1
Toyama, M1
Ozdemir, C1
Ikizler, M1
Besogul, Y1
Karakaya, A1
Sirmagul, B1
Song, C1
Por, YC1
Wong, CH1
Woo, EK1
Sayers, RD1
Watt, PA1
Bell, PR1
Thurston, H1
Karacagil, S1
Granbo, A1
Almgren, B1
Ljungman, C1
Bergqvist, D1
Mügge, A1
Heublein, B1
Kuhn, M1
Nolte, C1
Haverich, A1
Warnecke, J1
Forssmann, WG1
Lichtlen, PR1
Dregelid, E1
Heldal, K1
Andersen, KS1
Stangeland, L1
Svendsen, E1
Frierson, JH1
Bigelow, JC1
Duke, DJ1
Mahoney, TM1
Dimas, AP1
Schwartz, LB1
Purut, CM1
Craig, DM1
Smith, PK1
Moawad, J1
McCann, RL1
Davies, AH1
Horrocks, M1
Rapoport, S1
Glickman, MG1
Salomon, JC1
Cuono, CB1
Meyer, B1
Pfisterer, M1
Grädel, E1
Hasse, J1
Stulz, P1
Wolff, G1
Skarvan, K1
Schmitt, HE1
Burkart, F1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Topical Nitroglycerine Treatment for Radial Artery Spasm Prevention[NCT02832115]Phase 4100 participants (Actual)Interventional2016-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Radial Artery Dimension Measured in mm^2.

Change in Radial artery cross sectional area in mm^2 - Before application of topical nitroglycerine / placebo (Pre dilation) vs Prior to arterial puncture after application of topical nitroglycerine / placebo (Post-dilation) (NCT02832115)
Timeframe: Application of nitroglycerine / placebo until prior to arterial puncture. Approximate 60 to 120 minutes

Interventionmm^2 (Mean)
Study2.5
Control-0.2

Number of Patients With Procedural Failure

Need to abort procedure or convert to transfemoral access (NCT02832115)
Timeframe: Intraprocedural: From procedure start to application of radial band. Approximate time 30 to 90 minutes.

InterventionParticipants (Count of Participants)
Study0
Control4

Patient Discomfort or Pain During Procedure (Visual Analog Scale 0-10)

Patient discomfort or pain during procedure measured using Visual analog scale 0-10, 0 being no discomfort or pain (best) and 10 being worst discomfort or pain (worst) (NCT02832115)
Timeframe: Intraprocedural: From procedure start to application of radial band. Approximate time 30 to 90 minutes.

Interventionscore on a scale (Mean)
Study0.792
Control0.875

Radial Artery Spasm

"Incidence of radial artery spasm indicated by a Radial artery spasm score of 1 or more. Radial artery spasm score is sum of:~Intraprocedural pain in the forearm aggravated by movement of the catheter/sheath - Absent :0; Present:1~Difficulty in manipulating the catheter- Absence :0; Present:1~Difficulty with sheath removal: Absent: 0; Present:1~Additional use of intraarterial nitroglycerine or verapamil after the initial vasodilator cocktail- No:0; Yes:1" (NCT02832115)
Timeframe: Intraprocedural: From procedure start to application of radial band. Approximate time 30 to 90 minutes.

InterventionParticipants (Count of Participants)
Study8
Control15

Radial Pulse at End of Procedure

Radial pulse at end of procedure 0- 4+, 0 indicating no palpable pulse (worst); 1 + indicating a faint, but detectable pulse; 2 + suggesting a slightly more diminished pulse than normal; 3 + is a normal pulse; and 4 + indicating a bounding pulse (best). (NCT02832115)
Timeframe: At the end of transradial cardiac catheterization after sheath removal

Interventionscore on a scale (Mean)
Study2.208333333
Control2.166666667

Trials

2 trials available for papaverine and Graft Occlusion, Vascular

ArticleYear
An alternative agent for radial arterial graft spasm: application of topical iloprost.
    Scandinavian cardiovascular journal : SCJ, 2007, Volume: 41, Issue:3

    Topics: Administration, Topical; Aged; Arterial Occlusive Diseases; Coronary Artery Bypass; Diltiazem; Dose-

2007
Dilation of the internal mammary artery by external papaverine application to the pedicle--an improved method.
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 1993, Volume: 7, Issue:3

    Topics: Adult; Aged; Analysis of Variance; Blood Flow Velocity; Coronary Artery Bypass; Dilatation; Female;

1993

Other Studies

10 other studies available for papaverine and Graft Occlusion, Vascular

ArticleYear
Verapamil and nitroglycerin improves the patency rate of radial artery grafts.
    Asian cardiovascular & thoracic annals, 2008, Volume: 16, Issue:5

    Topics: Administration, Topical; Aged; Coronary Artery Bypass; Drug Combinations; Female; Graft Occlusion, V

2008
Novel use of continuous topical papaverine infusion delivered via a balloon pump to help maintain vascular patency in a case of intractable arterial spasm in a smoker.
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 2008, Volume: 61, Issue:8

    Topics: Arterial Occlusive Diseases; Graft Occlusion, Vascular; Humans; Infusion Pumps; Male; Middle Aged; P

2008
The effects of intraoperative vasodilators and angiographic contrast medium on the endothelium and smooth muscle cells of vein grafts.
    European journal of vascular surgery, 1993, Volume: 7, Issue:6

    Topics: Aged; Blood Vessel Prosthesis; Dose-Response Relationship, Drug; Endothelium, Vascular; Graft Occlus

1993
The effect of postocclusion reactive hyperaemia, papaverine and nifedipine on duplex derived haemodynamic parameters of infrainguinal bypass grafts.
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 1995, Volume: 9, Issue:1

    Topics: Aged; Arteriovenous Shunt, Surgical; Blood Flow Velocity; Blood Vessel Prosthesis; Female; Graft Occ

1995
Impaired coronary dilator responses to substance P and impaired flow-dependent dilator responses in heart transplant patients with graft vasculopathy.
    Journal of the American College of Cardiology, 1993, Volume: 21, Issue:1

    Topics: Adult; Analysis of Variance; Blood Flow Velocity; Blood Platelets; Cardiac Catheterization; Coronary

1993
Treatment of perioperative mammary artery graft spasm with nifedipine.
    American heart journal, 1993, Volume: 125, Issue:3

    Topics: Aged; Female; Graft Occlusion, Vascular; Heart Arrest; Humans; Internal Mammary-Coronary Artery Anas

1993
Measurement of vascular input impedance in infrainguinal vein grafts.
    Annals of vascular surgery, 1997, Volume: 11, Issue:1

    Topics: Aged; Angiography; Arteriovenous Shunt, Surgical; Female; Follow-Up Studies; Graft Occlusion, Vascul

1997
Outflow resistance measurements.
    Annales chirurgiae et gynaecologiae, 1992, Volume: 81, Issue:2

    Topics: Angiography; Blood Flow Velocity; Graft Occlusion, Vascular; Humans; Ischemia; Leg; Papaverine; Ultr

1992
Aggressive postoperative pharmacotherapy for vascular compromise of replanted digits.
    AJR. American journal of roentgenology, 1985, Volume: 144, Issue:5

    Topics: Angiography; Drug Therapy, Combination; Fingers; Follow-Up Studies; Graft Occlusion, Vascular; Hepar

1985
[Relation between intraoperative blood flow measurements and graft patency afer aortocoronary bypass surgery].
    Schweizerische medizinische Wochenschrift, 1985, Nov-09, Volume: 115, Issue:45

    Topics: Coronary Artery Bypass; Coronary Circulation; Female; Graft Occlusion, Vascular; Humans; Intraoperat

1985