Guidewire-induced coronary artery perforation treated with transcatheter injection of polyvinyl alcohol form.
We describe a first case of successful transcatheter management of guidewire-induced distal coronary artery perforation and impending cardiac tamponade, which developed during percutaneous coronary angioplasty, with transcatheter injection of polyvinyl alcohol form. This method may be an effective alternative in the management of distal coronary artery perforation requiring surgical repair.
Yoo
B S
BS
Cardiology Section, Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Yoon
J
J
Lee
S H
SH
Kim
J Y
JY
Lee
H H
HH
Ko
J Y
JY
Lee
B K
BK
Hwang
S O
SO
Choe
K H
KH
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011142:Polyvinyl Alcohol / Q000008:administration & dosage / Q000627:therapeutic use*
D011142:Polyvinyl Alcohol