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Updated: Mar 15, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Management of radial artery perforation during transradial catheterization using a polytetrafluoroethylene-covered
Arka Chatterjee1, Jeremy S White2, Massoud A Leesar1
1Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.
Abstract:
An 88-year-old woman underwent attempted percutaneous coronary intervention (PCI) through a right radial approach. Catheterization was complicated by radial artery perforation. Conservative therapeutic options including external compression, advancement of a diagnostic catheter distal to the perforation, and balloon tamponade failed to control the bleeding requiring deployment of a Polytetrafluoroethylene (PTFE)-covered stent to seal the perforation. We describe the stepwise approach advocated for managing a radial perforation and summarize relevant literature available for the same.

