Radial artery perforation during transradial catheterization managed with a coronary polytetrafluoroethylene-covered...

Area of Science:

• Cardiovascular Interventions
• Vascular Surgery
• Interventional Cardiology

Background:

• Transradial catheterization (TRC) is a common approach for percutaneous coronary intervention (PCI).
• Radial artery perforation is a rare but serious complication of TRC.
• Standard hemostasis techniques may not always be effective in managing radial artery perforation.

Observation:

• A 69-year-old male patient experienced radial artery perforation during TRC with PCI.
• Conventional methods, including guiding catheter repositioning and prolonged balloon inflation, failed to achieve hemostasis.
• The perforation necessitated an alternative, innovative approach for vessel repair.

Findings:

• Successful reconstruction of the perforated radial artery was achieved using a coronary polytetrafluoroethylene-covered stent graft.
• This represents an unconventional and novel application of a coronary stent graft for managing radial artery perforation.
• The stent graft provided a durable seal and restored vascular integrity.

Implications:

• This case highlights the potential utility of coronary stent grafts in managing complex vascular injuries during catheter-based procedures.
• It expands the armamentarium for interventional cardiologists facing challenging vascular complications.
• Further research may explore the broader applicability of covered stent grafts in treating arterial perforations in various settings.