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Radial artery perforation treated with balloon tracking and guide catheter tamponade - A case series
Sudhakar George1, Mamas Mamas2, James Nolan2
1Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom.
Insights
A novel technique using balloon assisted tracking and guide catheter tamponade successfully treated radial artery perforation during angioplasty. This approach allowed for the completion of the coronary angioplasty procedure via the radial artery, sealing the perforation.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Radial artery access is a common approach for coronary angiography and angioplasty.
- Radial artery perforation is a rare but serious complication that can occur during these procedures.
Observation:
- A 78-year-old woman experienced radial artery perforation during angioplasty via the left radial artery.
- Extravasation of contrast confirmed the guide catheter-induced perforation.
Findings:
- A technique combining balloon assisted tracking and guide catheter tamponade was employed.
- This method successfully completed the angioplasty and sealed the radial artery perforation.
- The technique was successfully applied in a series of 7 cases.
Implications:
- This technique offers a potential solution for managing radial artery perforation during angioplasty.
- It enables the completion of procedures via the radial artery, potentially reducing the need for conversion to other access sites.
- Further studies are warranted to evaluate the long-term efficacy and safety of this approach.
Abstract:
A 78year old woman was admitted with an acute coronary syndrome. She underwent coronary angiography via the left radial artery which was complicated by a guide catheter induced radial artery perforation confirmed by extravasation of contrast into the forearm. We used balloon assisted tracking and guide catheter tamponade to complete the angioplasty procedure via the radial artery and successfully seal the radial artery perforation. We describe a series of 7 cases where this technique was used to both treat radial artery perforation and to complete the angioplasty via the radial approach.
