Coronary artery rupture during balloon angioplasty, rescued with localized thrombin injection and coil embolization.
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.
Fischell
Tim A
TA
Heart Institute at Borgess Medical Center, Michigan State University, Kalamazoo, Michigan 490048, USA. ursulajuengling@borgess.com
Carter
Andrew J
AJ
Ashraf
Kamal
K
Birdsall
Joseph
J
Smoker
Sandy
S
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*
D006490:Hemostatics; D013917:Thrombin