Simple Management of Radial Artery Perforation during Transradial Percutaneous Coronary Intervention.
10.3904/kjm.2016.90.2.136
- Author:
Yunsuek KIM
1
;
Chan Sung JUNG
;
Hyo Shik KIM
;
Min Ho LEE
;
Byoung Won PARK
;
Duk Won BANG
;
Min Su HYON
Author Information
1. Department of Internal Medicine, Soonchunhyang University Hospital Seoul, Soonchunhyang University College of Medicine, Seoul, Korea. won0211@gmail.com
- Publication Type:Case Report
- Keywords:
Percutaneous coronary intervention;
Radial artery;
Perforation
- MeSH:
Catheters;
Coronary Angiography;
Percutaneous Coronary Intervention*;
Radial Artery*
- From:Korean Journal of Medicine
2016;90(2):136-139
- CountryRepublic of Korea
- Language:English
-
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.
