Radial Artery Avulsion During Peripheral Intervention Managed With a Nonsurgical Approach: Case Report

Abstract

Radial artery avulsion is an uncommon and serious complication of transradial artery approach, which is usually managed by vascular surgery. This case report describes an 81-year-old woman with radial artery avulsion during percutaneous lower extremity revascularization for symptomatic peripheral artery disease, which was managed using an endovascular approach. While holding manual pressure on the upper forearm, transfemoral access was obtained, and coils were delivered to the proximal radial artery, resulting in hemostasis. The patient’s subsequent course was uneventful and without clinical sequelae. Surgeons who perform transradial access should be familiar with potential complications and their associated management strategies to ensure safe patient care.