Send to

Choose Destination
J Interv Cardiol. 2011 Oct;24(5):401-6. doi: 10.1111/j.1540-8183.2011.00649.x. Epub 2011 May 3.

Management of radial artery perforation complicating coronary intervention: a stepwise approach.

Author information

Sultan Qaboos University Hospital, Al-Khod 123, Muscat, Sultanate of Oman.


The radial approach is an elegant alternative to femoral access for diagnostic and interventional coronary procedures; this access site is infrequently associated with vascular complications, although less than the femoral approach. We present our experience in management of iatrogenic radial artery perforation in 3 cases; one case managed conservatively through prolonged guiding catheter positioning proximal to the perforated segment and external compression by sphygmomanometer cuff. The second case required prolonged balloon inflation after failure of conservative management mentioned above. In the third case, the above-mentioned conservative measures and prolonged balloon inflation failed to seal the perforation; complete reconstruction of the perforation was achieved by a polytetrafluoroethylene (PTFE) coronary covered stent. To our knowledge, this is the first case to be managed utilizing this approach.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center