Work

Radial Perforation

Year: 2025

Type: article

Abstract: Radial artery perforation may result in hematoma and, in rare cases, compartment syndrome with increased risk of this complication in the setting of multiple antithrombotic agents. Radial artery perforation is usually managed by external compression and reversal of anticoagulation. In this clinical vignette, we report management of a radial artery perforation in the setting of rescue percutaneous coronary intervention with internal tamponade using a sheathless guiding catheter. This represents a simpler strategy than external compression and allows completion of the coronary procedure while treating the perforation. TAKE-HOME MESSAGES: Radial artery perforation can safely and effectively be managed with internal tamponade using a sheathless guiding catheter rather than external compression.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106336

Authors: Matthew D. Hordern, Sarah L. Fairley, Scott A. Harding

Institution: Wellington Hospital

Language: English

Topic: Vascular Procedures and Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850