title: Foreign body granulomatous change from absorbable gelatin sponge and microcoil embolization after a guidewire-induced perforation in the distal coronary artery.
abstract: We report an autopsy case of treatment by absorbable gelatin sponge and microcoil embolization after perforation of the distal coronary artery by guidewire. Histological examination revealed a foreign body granuloma in the coronary artery with embolization. Foreign body reaction to absorbable gelatin sponge seemed to be stronger than that to the microcoil.
authors.affiliation: Department of Cardiology, Nagasaki Rosai Hospital, Japan. hirokawa@na-robyo.jp
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kawano
authors.forename: Shuji
authors.initials: S
authors.lastname: Arakawa
authors.forename: Osami
authors.initials: O
authors.lastname: Satoh
authors.forename: Yuji
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Motonobu
authors.initials: M
authors.lastname: Hayano
authors.forename: Shinichi
authors.initials: S
authors.lastname: Miyabara
mesh_terms: D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D000925:Anticoagulants / Q000627:therapeutic use; D001344:Autopsy; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000295:instrumentation; D005781:Gelatin Sponge, Absorbable / Q000009:adverse effects*; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000473:pathology; D006333:Heart Failure / Q000209:etiology; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D015607:Stents; D014950:Wounds, Penetrating / Q000209:etiology / Q000628:therapy*
chemical_list: D000925:Anticoagulants