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Related Concept Videos

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
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Related Experiment Video

Updated: Jan 9, 2026

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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
PubMed
Summary

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 infarctionpercutaneous interventionperforationradial

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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.