Management of guidewire-induced coronary artery perforations through transradial route - A simple approach

We describe two cases of guidewire-induced Type-3 coronary artery perforations leading to pericardial tamponade treated successfully through a transradial approach using polyvinyl alcohol particles. This can be an effective, alternative, simplistic approach in the management of distal coronary artery perforations with hemodynamic compromise otherwise requiring surgical intervention.