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KMID : 0882420160900020136
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Korean Journal of Medicine
2016 Volume.90 No. 2 p.136 ~ p.139
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Simple Management of Radial Artery Perforation during Transradial Percutaneous Coronary Intervention
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김윤석:Kim Yun-suek
정찬성:Jung Chan-Sung/김효식:Kim Hyo-Shik/이민호:Lee Min-Ho/박병원:Park Byoung-Won/방덕원:Bang Duck-Won/현민수:Hyon Min-Su
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Abstract
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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.
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KEYWORD
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Percutaneous coronary intervention, Radial artery, Perforation
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