Intracoronary autologous blood to seal a coronary perforation.
BACKGROUND
Coronary artery perforation is a rare but serious complication of percutaneous coronary interventions.


METHODS
We report on the treatment of a coronary perforation during percutaneous transluminal coronary angioplasty (PTCA) of the left anterior descending (LAD) coronary artery in a patient suffering from post infarction angina complicated by cardiogenic shock. The perforation was treated successfully with intracoronary administration of the patient's own blood.


CONCLUSIONS
This new technique may be used as adjunctive therapy to prolonged balloon inflation, coronary stenting, coronary microcoil and gelfoam embolization in the treatment of severe and hemodynamically compromising perforations.
Cordero
H
H
Phoenix Heart Center at St. Luke's Medical Center, Phoenix, AZ, USA.
Gupta
N
N
Underwood
P L
PL
Gogte
S T
ST
Heuser
R R
RR
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D001769:Blood; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome