title: Coronary artery rupture during balloon angioplasty, rescued with localized thrombin injection and coil embolization.
abstract: Distal intracoronary thrombin injection has been used successfully to seal very small, guidewire related, coronary artery perforations during percutaneous coronary intervention. This case report expands upon this therapeutic approach, by describing the use of high dose distal thrombin injection for the successful (non-surgical) management of balloon-induced coronary artery rupture, with an intrapericardial leak.
authors.affiliation: Heart Institute at Borgess Medical Center, Michigan State University, Kalamazoo, Michigan 490048, USA. ursulajuengling@borgess.com
authors.forename: Tim A
authors.initials: TA
authors.lastname: Fischell
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Carter
authors.forename: Kamal
authors.initials: K
authors.lastname: Ashraf
authors.forename: Joseph
authors.initials: J
authors.lastname: Birdsall
authors.forename: Sandy
authors.initials: S
authors.lastname: Smoker
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003131:Combined Modality Therapy; D003331:Coronary Vessels / Q000293:injuries*; D004621:Embolization, Therapeutic; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D012421:Rupture; D013917:Thrombin / Q000008:administration & dosage*
chemical_list: D006490:Hemostatics; D013917:Thrombin