Rashid Al-Sekaiti

Publications (2)3.47 Total impact

• Article: Radial artery perforation after coronary intervention: is there a role for covered coronary stent?

  Rashid Al-Sekaiti, Mehar Ali, Mansour Sallam
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  ABSTRACT: 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.
  Catheterization and Cardiovascular Interventions 07/2011; 78(4):632-5. · 2.29 Impact Factor
• Article: Management of radial artery perforation complicating coronary intervention: a stepwise approach.

  Mansour M Sallam, Mehar Ali, Rashid Al-Sekaiti
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  ABSTRACT: The radial approach is an elegant alternative to femoral access for diagnostic and interventional coronary procedures; this access site is infrequently associated with vascular complications, although less than the femoral approach. We present our experience in management of iatrogenic radial artery perforation in 3 cases; one case managed conservatively through prolonged guiding catheter positioning proximal to the perforated segment and external compression by sphygmomanometer cuff. The second case required prolonged balloon inflation after failure of conservative management mentioned above. In the third case, the above-mentioned conservative measures and prolonged balloon inflation failed to seal the perforation; complete reconstruction of the perforation was achieved by a polytetrafluoroethylene (PTFE) coronary covered stent. To our knowledge, this is the first case to be managed utilizing this approach.
  Journal of Interventional Cardiology 05/2011; 24(5):401-6. · 1.18 Impact Factor