Cardiovascular Diseases & Diagnosis

Radial Artery Perforation Management with Internal Tamponade using a Long Vascular Sheath

Abstract

Gaurav Rana, Nikolaos Kakouros

Radial artery access has rare but significant vascular complications that can occur even in high volume centers. We present a case of a 60-year-old man with perforation of a high takeoff radial artery due to catheter manipulation. A combination of manual external pressure of the axillary artery combined with internal tamponade effect from a 45 cm hydrophilic sheath was used with no immediate or late neurovascular complications. As radial technique becomes more popular, operators should be aware of potential management options. The present case illustrates one such complication and management strategy.