title: Radial artery perforation treated with balloon tracking and guide catheter tamponade - A case series.
abstract: A 78year old woman was admitted with an acute coronary syndrome. She underwent coronary angiography via the left radial artery which was complicated by a guide catheter induced radial artery perforation confirmed by extravasation of contrast into the forearm. We used balloon assisted tracking and guide catheter tamponade to complete the angioplasty procedure via the radial artery and successfully seal the radial artery perforation. We describe a series of 7 cases where this technique was used to both treat radial artery perforation and to complete the angioplasty via the radial approach.
authors.affiliation: Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom. Electronic address: sudhakargeorge@gmail.com.
authors.forename: Sudhakar
authors.initials: S
authors.lastname: George
authors.affiliation: Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent.
authors.forename: Mamas
authors.initials: M
authors.lastname: Mamas
authors.affiliation: Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent.
authors.forename: James
authors.initials: J
authors.lastname: Nolan
authors.affiliation: Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom.
authors.forename: Karim
authors.initials: K
authors.lastname: Ratib
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D021721:Balloon Occlusion; D062906:Cardiac Catheters; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000295:instrumentation; D017023:Coronary Angiography / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: Angioplasty; Balloon assisted tracking; Complication; Radial perforation