title: Successful embolization of iatrogenic ruptured coronary artery using Onyx: a new technique.
abstract: Iatrogenic perforation of coronary artery is rare during percutaneous coronary intervention (PCI); however the complications are life-threatening. Patients in this clinical setting may be treated either by stent placement, closure of the perforation with fibrin glue or coils, or with emergency bypass surgery. Onyx, a new material that has been used successfully in cerebral arteries, represents a new and safe alternative. The advantage of Onyx is that it is easily injected through a microcatheter and it allows for a longer injection time having also the ability to reach difficult anatomical locations. We present the first case of successful embolization of a right coronary artery perforation during coronary angiography using Onyx.
authors.affiliation: Department of Cardiothoracic Anesthesiology 'G.Papanikolaou' General Hospital , Thessaloniki , Greece.
authors.forename: I
authors.initials: I
authors.lastname: Asouhidou
authors.forename: V
authors.initials: V
authors.lastname: Katsaridis
mesh_terms: D006328:Cardiac Catheterization; D003331:Coronary Vessels / Q000293:injuries*; D004338:Drug Combinations; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D011145:Polyvinyls / Q000008:administration & dosage*; D012421:Rupture / Q000209:etiology / Q000628:therapy; D013635:Tantalum / Q000008:administration & dosage*
chemical_list: D004338:Drug Combinations; C558446:Onyx 18; D011145:Polyvinyls; D013635:Tantalum
keywords: Coronary artery rupture; Onyx; embolization; percutaneous coronary intervention