title: Embolization of a septal branch perforation using subcutaneous fat during a percutaneous coronary intervention of chronic total occlusion by retrograde approach.
abstract: We describe a case of septal branch perforation during percutaneous coronary intervention of a right coronary artery chronic total occlusion. The septal branch perforation was treated with administration of autologous fat into the septal branch with significant reduction of extravasation. This treatment was followed by prolonged balloon inflation at the exit point of the septal branch in the donor artery which definitively sealed the perforation.
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Mohandes
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Sergio
authors.initials: S
authors.lastname: Rojas
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Jordi
authors.initials: J
authors.lastname: Guarinos
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Judit
authors.initials: J
authors.lastname: Rodríguez
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Fernández
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Moreno
authors.affiliation: Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Tarragona, Spain.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Bardají
keywords: Chronic total occlusion; Retrograde approach; Septal branch perforation