title: A unique complication of the retrograde approach in angioplasty for chronic total occlusion of the coronary artery.
abstract: The retrograde approach for chronic total occlusion of coronary arteries is a new treatment strategy, although its attendant complications have not yet been fully appreciated. We report a case of isolated left ventricular cardiac tamponade caused by guidewire-induced perforation of the septal branch during the retrograde approach, which was subsequently diagnosed by computed tomography (CT) and which required surgical drainage. Guidewire-induced perforation of the septal branch was successfully treated by autologous subcutaneous tissue embolization of the perforated coronary artery. This is the first case of its kind to date.
authors: Division of Cardiology and Catheterization Laboratories, Heart Center of ShonanKamakura General Hospital, Yamazaki, Kamakura City, Japan.
authors: Jyunya
authors: J
authors: Matsumi
authors: Division of Cardiology and Catheterization Laboratories, Heart Center of ShonanKamakura General Hospital, Yamazaki, Kamakura City, Japan.
authors: Koichi
authors: K
authors: Adachi
authors: Division of Cardiology and Catheterization Laboratories, Heart Center of ShonanKamakura General Hospital, Yamazaki, Kamakura City, Japan.
authors: Shigeru
authors: S
authors: Saito
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D002305:Cardiac Tamponade / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002908:Chronic Disease; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D004322:Drainage; D004452:Echocardiography; D004562:Electrocardiography; D006335:Heart Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome