Lifesaving Embolization of Coronary Artery Perforation

Journal Article · Tue Sep 15 00:00:00 EDT 2009 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9657-9· OSTI ID:21429092

Katsanos, Konstantinos ^[1]; Patel, Sundip ^[2]; Dourado, Renato; Sabharwal, Tarun ^[1]

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1. Guy's and St. Thomas' Hospitals, NHS Foundation Trust, Department of Interventional Radiology (United Kingdom)
2. Guy's and St. Thomas' Hospitals, NHS Foundation Trust, Department of Interventional Cardiology (United Kingdom)

Coronary artery perforation remains one of the most fearsome complications during cardiac catheterization procedures. Although emergent bypass surgery is the preferred treatment for cases with uncontrollable perforation, endovascular vessel sealing and arrest of bleeding with a combination of balloons, covered stents, or embolic materials have also been proposed. The authors describe a case of emergent lifesaving microcoil embolization of the distal right coronary artery in a patient with uncontrollable grade III guidewire perforation resulting in cardiac tamponade. The relevant literature is reviewed and the merits and limitations of the endovascular approach are highlighted.

• OSTI ID: 21429092
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 32, Issue 5; Other Information: DOI: 10.1007/s00270-009-9657-9; Copyright (c) 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BYPASSES
CORONARIES
PERFORATION
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
ORGANS