Radial Artery Perforation Complicating Percutaneous Coronary Intervention
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Updated: Jan 26, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Sunny Goel1, Nikhil Cordeiro1, Michael Friedman1
1Department of Cardiology, Maimonides Medical Center, Brooklyn, NY 11219, USA.
Abstract:
Radial artery perforation is a rare but dreaded complication of transradial access. Here in we report a case of a radial artery perforation which was managed conservatively by tamponading the perforation with a guiding catheter and successfully completing the PCI through the same artery.
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Radial System Protection
In a radial system with a fault downstream of the third breaker, ideally, only the third breaker will open, isolating the fault and interrupting the load connected beyond it. The second breaker has a longer delay setting,...