title: A case of coronary artery perforation with successful hemostasis using over-the-wire balloon and autologous blood perfusion.
abstract: Advances in coronary intervention have increased the opportunity to intervene on complex lesions, resulting in an increase in PCI-related complication, including coronary artery perforation. However, treatment options for coronary perforation are limited, with delivery of devices to complex lesions being problematic. Balloon hemostasis is the usual bailout method, despite the risk of myocardial ischemia. In this report, we describe an over-the-wire balloon method to treat a patient with coronary perforation. Ischemia was avoided by injecting autologous blood through the catheter, while hemostasis was achieved by prolonged balloon inflation. This new technique is applicable when a perfusion balloon is not indicated.
authors.affiliation: Department of Cardiovascular Disease, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan. ikki2002@msn.com
authors.forename: Ikki
authors.initials: I
authors.lastname: Komatsu
authors.forename: Keisuke
authors.initials: K
authors.lastname: Hirano
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Takimura
authors.forename: Motoharu
authors.initials: M
authors.lastname: Araki
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yamawaki
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Nakano
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ishimori
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ito
authors.forename: Reiko
authors.initials: R
authors.lastname: Tsukahara
authors.forename: Toshiya
authors.initials: T
authors.lastname: Muramatsu
mesh_terms: D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017225:Atherectomy, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000097:blood / Q000209:etiology / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D006487:Hemostasis / Q000502:physiology*; D006801:Humans; D008297:Male; D015424:Reperfusion / Q000379:methods*; D016896:Treatment Outcome