# Radial Perforation: Rescue With Internal Tamponade

## TL;DR

A new method using a catheter to treat radial artery perforation during heart procedures is presented as a safer and simpler alternative to traditional compression.

## Contribution

The paper introduces internal tamponade with a sheathless guiding catheter as a novel management strategy for radial artery perforation.

## Key findings

- Internal tamponade using a sheathless guiding catheter effectively managed radial artery perforation.
- This method allows completion of coronary procedures while treating the perforation.
- It offers a safer and simpler alternative to external compression in anticoagulated patients.

## Abstract

Radial artery perforation may result in hematoma and, in rare cases, compartment syndrome with increased risk of this complication in the setting of multiple antithrombotic agents. Radial artery perforation is usually managed by external compression and reversal of anticoagulation. In this clinical vignette, we report management of a radial artery perforation in the setting of rescue percutaneous coronary intervention with internal tamponade using a sheathless guiding catheter. This represents a simpler strategy than external compression and allows completion of the coronary procedure while treating the perforation.

Radial artery perforation can safely and effectively be managed with internal tamponade using a sheathless guiding catheter rather than external compression.