title: Management of guidewire-induced distal coronary perforation using autologous fat particles versus coil embolization.
abstract: Distal coronary perforation is a rare, yet potentially lethal complication of percutaneous coronary intervention. Early recognition and treatment remains critical in preventing potentially life-threatening adverse outcomes, such as cardiac tamponade. The most commonly used strategies for treating distal perforation are fat and coil embolization. We present two cases of guidewire-induced distal coronary perforation and discuss the advantages and disadvantages of coil vs. fat embolization. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Division of Cardiovascular Diseases, VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Kamal
authors.initials: K
authors.lastname: Shemisa
authors.affiliation: Division of Cardiovascular Diseases, VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Aris
authors.initials: A
authors.lastname: Karatasakis
authors.affiliation: Division of Cardiovascular Diseases, VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Emmanouil S
authors.initials: ES
authors.lastname: Brilakis
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D010490:Pericardial Effusion / Q000209:etiology; D050151:Subcutaneous Fat / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
keywords: coil embolization; coronary perforation; fat embolization; percutaneous coronary intervention