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Title: Lifesaving Embolization of Coronary Artery Perforation

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.
Authors:
 [1] ;  [2] ; ;  [1]
  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)
Publication Date:
OSTI Identifier:
21429092
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 32; Journal 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)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BYPASSES; CORONARIES; PERFORATION ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; ORGANS