Lifesaving embolization of coronary artery perforation.
Coronary artery perforation remains one of the most fearsome complications during cardiac catheterization procedures. Although emergent bypass surgery is the preferred treatment for cases with uncontrollable perforation, endovascular vessel sealing and arrest of bleeding with a combination of balloons, covered stents, or embolic materials have also been proposed. The authors describe a case of emergent lifesaving microcoil embolization of the distal right coronary artery in a patient with uncontrollable grade III guidewire perforation resulting in cardiac tamponade. The relevant literature is reviewed and the merits and limitations of the endovascular approach are highlighted.
Katsanos
Konstantinos
K
Department of Interventional Radiology, Guy's and St Thomas' Hospitals, NHS Foundation Trust, London, UK. katsanos@med.upatras.gr
Patel
Sundip
S
Dourado
Renato
R
Sabharwal
Tarun
T
D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male