Korean J Med.  2016 Feb;90(2):136-139. 10.3904/kjm.2016.90.2.136.

Simple Management of Radial Artery Perforation during Transradial Percutaneous Coronary Intervention

• Kim Y
• Jung CS
• Kim HS
• Lee MH
• Park BW
• Bang DW
• Hyon MS

• KMID: 2268871
• DOI: http://doi.org/10.3904/kjm.2016.90.2.136

Abstract

Radial artery perforation is one of the major complications of transradial percutaneous coronary intervention (PCI). Previous reports have suggested that sealing the perforation with a smaller guiding catheter may be possible. In one such study, the perforated segment was sealed with a 0.014- or 0.021-inch guidewire, and PCI was successfully completed. In this study, we describe a radial artery perforation that occurred after diagnostic coronary angiography and during insertion of a 6 French (FR) guiding catheter. PCI and the perforation were successfully managed through the use of a 5 Fr guiding catheter and a 0.035-inch guidewire.

Keyword

Percutaneous coronary intervention; Radial artery; Perforation

MeSH Terms

Catheters
Coronary Angiography
Percutaneous Coronary Intervention*
Radial Artery*