Department of Radiology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
Catheter Cardiovasc Interv. 2011 Oct 1;78(4):632-5. doi: 10.1002/ccd.22945. Epub 2011 Jul 21.
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.
我们报告了一例右桡动脉穿孔的病例，该病例是在经右桡动脉成功行左前降支支架置入术后观察到的。这是在手术完成后立即发现的，当时患者描述右前臂疼痛，我们注意到右前臂肿胀。我们通过将引导导管在穿孔段近端长时间定位、用血压计袖带进行外部压迫，然后在穿孔处长时间充气球囊来进行治疗。所有这些措施都未能止血。通过聚四氟乙烯覆盖的冠状动脉支架完全重建了穿孔。据我们所知，这是首例采用这种方法治疗的病例。
