Accepted TCT challenging case: common femoral artery perforation after primary percutaneous coronary intervention successfully treated with a novel transcatheter "thrombin-blood patch" injection technique.
Severe vascular access complications are infrequent, yet potentially life-threatening, conditions related to percutaneous procedures approached via the femoral artery. Surgical vascular repair of such complications are associated with high rates of morbimortality due to advanced cardiovascular disease. Endovascular repair of the injured vessel appears to be the treatment of choice for patients who cannot tolerate vascular reconstruction and bleeding due to severe cardiovascular disease. We report a case that illustrates the feasibility of a novel technique: transcatheter "thrombin-blood patch" injection to access perforated arteries.
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA.
Gabriel
G
Maluenda
Ron
R
Waksman
Nelson L
NL
Bernardo
D017130:Angioplasty / Q000379:methods; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D017023:Coronary Angiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods; D004636:Emergency Service, Hospital; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000628:therapy*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D013917:Thrombin