Management of guidewire-induced coronary artery perforations through transradial route - A simple approach.
We describe two cases of guidewire-induced Type-3 coronary artery perforations leading to pericardial tamponade treated successfully through a transradial approach using polyvinyl alcohol particles. This can be an effective, alternative, simplistic approach in the management of distal coronary artery perforations with hemodynamic compromise otherwise requiring surgical intervention.
Patel
Tejas
T
Sheth V.S.General Hospital, Ahmedabad, India. tejaspatel@tcvsgroup.org
Shah
Sanjay
S
Kuladhipati
Indra
I
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods*; D002305:Cardiac Tamponade / Q000209:etiology; D054059:Coronary Occlusion / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011142:Polyvinyl Alcohol; D017534:Radial Artery; D016896:Treatment Outcome
D011142:Polyvinyl Alcohol