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Radial artery perforation after coronary intervention: Is there a role for covered coronary stent?
Author(s) -
AlSekaiti Rashid,
Ali Mehar,
Sallam Mansour
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22945
Subject(s) - medicine , perforation , radial artery , stent , forearm , surgery , cuff , balloon , right coronary artery , percutaneous coronary intervention , artery , catheter , cardiology , radiology , coronary angiography , myocardial infarction , materials science , punching , metallurgy
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. © 2011 Wiley‐Liss, Inc.