title: Management of radial artery perforation during transradial catheterization using a polytetrafluoroethylene-covered coronary stent.
abstract: An 88-year-old woman underwent attempted percutaneous coronary intervention (PCI) through a right radial approach. Catheterization was complicated by radial artery perforation. Conservative therapeutic options including external compression, advancement of a diagnostic catheter distal to the perforation, and balloon tamponade failed to control the bleeding requiring deployment of a Polytetrafluoroethylene (PTFE)-covered stent to seal the perforation. We describe the stepwise approach advocated for managing a radial perforation and summarize relevant literature available for the same.
authors: Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: achatterjee@uabmc.edu.
authors: Arka
authors: A
authors: Chatterjee
authors: Internal Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
authors: Jeremy S
authors: JS
authors: White
authors: Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.
authors: Massoud A
authors: MA
authors: Leesar
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D003324:Coronary Artery Disease / Q000628:therapy*; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods; D011138:Polytetrafluoroethylene / Q000008:administration & dosage / Q000627:therapeutic use*; D017534:Radial Artery / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene
keywords: Covered stent graft; Radial artery catheterization; Radial perforation