Radial Artery Perforation Complicating Percutaneous Coronary Intervention

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Medicine

Background:

• Transradial access is a common approach for percutaneous coronary intervention (PCI).
• Radial artery perforation is a rare but serious complication associated with transradial procedures.
• Prompt and effective management is crucial to minimize patient morbidity.

Observation:

• A case of radial artery perforation occurred during transradial access for PCI.
• The perforation was successfully managed conservatively.
• A guiding catheter was used to tamponade the perforation site.

Findings:

• Conservative management with guiding catheter tamponade can effectively control radial artery perforation.
• Percutaneous coronary intervention (PCI) can be successfully completed through the same affected radial artery after conservative management.
• This approach avoids the need for immediate surgical intervention or switching access sites.

Implications:

• This case highlights a viable conservative strategy for managing radial artery perforation during PCI.
• It suggests that transradial access can be maintained even after perforation with appropriate management.
• This approach may improve procedural success rates and patient outcomes in complex PCI cases.