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Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

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Radial Perforation: Rescue With Internal Tamponade.

Matthew D Hordern¹, Sarah L Fairley¹, Scott A Harding¹

¹Cardiology Department, Wellington Hospital, Wellington, New Zealand.

JACC. Case Reports

|December 3, 2025

Summary

This summary is machine-generated.

Radial artery perforation, a complication of cardiac procedures, can be managed with internal tamponade. This technique uses a sheathless guiding catheter, offering a simpler alternative to external compression for treating radial artery perforation.

Keywords:

ST-segment elevation myocardial infarction percutaneous intervention perforation radial

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Area of Science:

Interventional Cardiology
Vascular Access Complications
Medical Device Technology

Background:

Radial artery perforation is a known complication during cardiac catheterization.
It can lead to hematoma and, rarely, compartment syndrome, especially with antithrombotic agents.
Current management typically involves external compression and anticoagulation reversal.

Purpose of the Study:

To present a novel management strategy for radial artery perforation.
To evaluate the efficacy of internal tamponade using a sheathless guiding catheter.
To offer a simpler alternative to traditional management methods.

Main Methods:

A clinical vignette describing the management of radial artery perforation during rescue percutaneous coronary intervention.
Utilized a sheathless guiding catheter for internal tamponade.
Documented the procedure's completion and complication management.

Main Results:

Successful management of radial artery perforation via internal tamponade.
The sheathless guiding catheter approach allowed for simultaneous completion of the coronary intervention.
This method proved simpler and effective compared to external compression.

Conclusions:

Internal tamponade with a sheathless guiding catheter is a safe and effective treatment for radial artery perforation.
This technique simplifies management and facilitates uninterrupted procedural completion.
It represents a viable alternative to external compression in specific clinical scenarios.