Radial artery perforation and its management during PCI.

Radial artery perforation is a rare but important complication of the transradial approach. This report highlights two cases of radial artery perforation during percutaneous coronary intervention managed by simple strategies without resorting to an alternative route. The guiding catheter itself helps to seal the perforation, hence continuing to perform the procedure through the same route is an effective way to seal off the perforation.