title: Radial artery perforation after coronary intervention: is there a role for covered coronary stent?
abstract: We report a case of right radial artery perforation observed after successful stenting of left anterior descending artery through right radial access. This was noticed immediately after completion of the procedure, when the patient described right forearm pain and we noticed swelling of the right forearm. She was treated by a prolonged guiding catheter positioning proximal to the perforated segment, external compression by sphygmomanometer cuff followed by prolonged balloon inflation across the perforation. All these measures failed to stop the bleeding. Complete reconstruction of the perforation was achieved by PTFE covered coronary stent. To our knowledge, this is the first case to be managed utilizing this approach.
authors.affiliation: Department of Radiology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
authors.forename: Rashid
authors.initials: R
authors.lastname: Al-Sekaiti
authors.forename: Mehar
authors.initials: M
authors.lastname: Ali
authors.forename: Mansour
authors.initials: M
authors.lastname: Sallam
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D054855:Drug-Eluting Stents; D005260:Female; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D011474:Prosthesis Design; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*