title: The Balloon-Microcatheter technique for treatment of coronary artery perforations.
abstract: Coronary perforation (CP) is a rare but potentially lethal complication of percutaneous coronary intervention (PCI). Management of CP is mainly conditioned by the extension of coronary rupture and location of the perforation. Successful treatment is highly affected by the operator's familiarity with tools and dedicated techniques to achieve prompt sealing of the disruption. We describe a "Balloon-Microcatheter" technique that may allow fast, safe, and effective management of CP with a single ≥ 6 Fr guiding catheter. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Invasive Cardiology, Ospedale San Giovanni Bosco, Turin, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Garbo
authors.affiliation: Department of Invasive Cardiology, Ospedale Luigi Sacco, Milan, Italy.
authors.forename: Jacopo A
authors.initials: JA
authors.lastname: Oreglia
authors.affiliation: Department of Invasive Cardiology, Humanitas Research Hospital, Rozzano (Milan), Italy.
authors.forename: Gabriele L
authors.initials: GL
authors.lastname: Gasparini
mesh_terms: D000368:Aged; D021721:Balloon Occlusion / Q000295:instrumentation*; D062906:Cardiac Catheters; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008904:Miniaturization; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: complications; coronary chronic total occlusion; outcomes; percutaneous coronary intervention; retrograde approach