Media type: E-Article Title: Management of iatrogenic radial artery perforation Contributor: Calviño‐Santos, Ramón Antonio; Vázquez‐Rodríguez, José Manuel; Salgado‐Fernández, Jorge; Vázquez‐González, Nicolás; Pérez‐Fernández, Ruth; Vázquez‐Rey, Eugenia; Castro‐Beiras, Alfonso imprint: Wiley, 2004 Published in: Catheterization and Cardiovascular Interventions Language: English DOI: 10.1002/ccd.10698 ISSN: 1522-1946; 1522-726X Keywords: Cardiology and Cardiovascular Medicine ; Radiology, Nuclear Medicine and imaging ; General Medicine Origination: Footnote: Description: <jats:title>Abstract</jats:title><jats:p>The aim of this study was to evaluate a new protocol allowing coronary angiography to be performed transradially in spite of the occurrence of iatrogenic radial artery perforation during catheterization. Nine patients with iatrogenic radial artery perforation were managed conservatively by inserting a long arterial sheath in the damaged radial artery up to the brachial artery, after which the diagnostic and/or interventional procedures that had motivated transradial catheterization were completed via the protected radial artery. Radial angiography performed immediately thereafter showed no extravasation, and no major vascular complications developed during follow‐up. The day after the procedure, two patients had asymptomatic radial occlusion, but the other seven patients had normal radial pulses and reversed Allen test responses showing normal perfusion. A conservative management technique, installation of a long arterial sheath not only promotes resolution of iatrogenic radial artery perforation but also allows the procedures motivating catheterization to be completed transradially. Catheter Cardiovasc Interv 2004;61:74–78. © 2004 Wiley‐Liss, Inc.</jats:p>