Coronary vessel perforation during balloon angioplasty: A case report

Coil Embolization for Coronary Artery Perforation: A Retrospective Analysis of 110 Patients

“…In this study, CE for CAP could successfully arrest bleeding in 98.2% cases and is therefore believed to be effective. Suction through a microcatheter, blood clot embolization [ 11 ], fat tissue embolization [ 12 ], and gel foam embolization [ 5 ] could be used instead of CE. However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery.…”

“…However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery. Moreover, the coil has synthetic fibers that facilitate thrombogenicity and can secure better hemostasis than suction maneuver, blood clot [ 11 ], subcutaneous tissue [ 12 ], or gel foam embolization [ 5 ]. A concern after CAP is whether the administration of anticoagulants should be delayed or avoided due to the fear of recurrent bleeding.…”

Coil Embolization for Coronary Artery Perforation: A Retrospective Analysis of 110 Patients

“…In this study, CE for CAP could successfully arrest bleeding in 98.2% cases and is therefore believed to be effective. Suction through a microcatheter, blood clot embolization [ 11 ], fat tissue embolization [ 12 ], and gel foam embolization [ 5 ] could be used instead of CE. However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery.…”

“…However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery. Moreover, the coil has synthetic fibers that facilitate thrombogenicity and can secure better hemostasis than suction maneuver, blood clot [ 11 ], subcutaneous tissue [ 12 ], or gel foam embolization [ 5 ]. A concern after CAP is whether the administration of anticoagulants should be delayed or avoided due to the fear of recurrent bleeding.…”

Intracoronary Autologous Blood to Seal a Coronary Perforation

“…The delayed incidence of cardiac tamponade is particularly concerning, requiring extreme vigilance in the management of patients following interventions [15]. Hadjimiltiades et al [11] first reported the successful use of autologous blood to seal a perforation in a small distal LAD perforation. In their report, thrombus was deposited at the site of perforation and in the distal vessel.…”

Early and Late Clinical Outcomes Following Coronary Perforation in Patients Undergoing Percutaneous Coronary Intervention.

“…Prolonged antiplatelet therapy may also be needed to prevent the occurrence of late subacute stent thrombosis. 31 Distal embolization using GelFoam, 33 a Microcoil, 34 or clotted autologous blood 35 has also been reported for the treatment of guidewire perforations. Rarely, the use of additional stents have been used to seal a coronary perforation, 36,37 but caution must be exercised, as self-expanding and balloonexpandable stents may have the potential to increase the size of the vessel rupture.…”

Coil Embolization for Coronary Artery Perforation: A Retrospective Analysis of 110 Patients

“…In this study, CE for CAP could successfully arrest bleeding in 98.2% cases and is therefore believed to be effective. Suction through a microcatheter, blood clot embolization [ 11 ], fat tissue embolization [ 12 ], and gel foam embolization [ 5 ] could be used instead of CE. However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery.…”

“…However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery. Moreover, the coil has synthetic fibers that facilitate thrombogenicity and can secure better hemostasis than suction maneuver, blood clot [ 11 ], subcutaneous tissue [ 12 ], or gel foam embolization [ 5 ]. A concern after CAP is whether the administration of anticoagulants should be delayed or avoided due to the fear of recurrent bleeding.…”

Intracoronary Autologous Blood to Seal a Coronary Perforation

“…The delayed incidence of cardiac tamponade is particularly concerning, requiring extreme vigilance in the management of patients following interventions [15]. Hadjimiltiades et al [11] first reported the successful use of autologous blood to seal a perforation in a small distal LAD perforation. In their report, thrombus was deposited at the site of perforation and in the distal vessel.…”

Early and Late Clinical Outcomes Following Coronary Perforation in Patients Undergoing Percutaneous Coronary Intervention.

“…Prolonged antiplatelet therapy may also be needed to prevent the occurrence of late subacute stent thrombosis. 31 Distal embolization using GelFoam, 33 a Microcoil, 34 or clotted autologous blood 35 has also been reported for the treatment of guidewire perforations. Rarely, the use of additional stents have been used to seal a coronary perforation, 36,37 but caution must be exercised, as self-expanding and balloonexpandable stents may have the potential to increase the size of the vessel rupture.…”

Coil Embolization for Coronary Artery Perforation: A Retrospective Analysis of 110 Patients

“…In this study, CE for CAP could successfully arrest bleeding in 98.2% cases and is therefore believed to be effective. Suction through a microcatheter, blood clot embolization [ 11 ], fat tissue embolization [ 12 ], and gel foam embolization [ 5 ] could be used instead of CE. However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery.…”

“…However, the coil is visible under fluoroscopy, thereby allowing rapid and accurate delivery. Moreover, the coil has synthetic fibers that facilitate thrombogenicity and can secure better hemostasis than suction maneuver, blood clot [ 11 ], subcutaneous tissue [ 12 ], or gel foam embolization [ 5 ]. A concern after CAP is whether the administration of anticoagulants should be delayed or avoided due to the fear of recurrent bleeding.…”

Intracoronary Autologous Blood to Seal a Coronary Perforation

“…The delayed incidence of cardiac tamponade is particularly concerning, requiring extreme vigilance in the management of patients following interventions [15]. Hadjimiltiades et al [11] first reported the successful use of autologous blood to seal a perforation in a small distal LAD perforation. In their report, thrombus was deposited at the site of perforation and in the distal vessel.…”

Early and Late Clinical Outcomes Following Coronary Perforation in Patients Undergoing Percutaneous Coronary Intervention.

“…Prolonged antiplatelet therapy may also be needed to prevent the occurrence of late subacute stent thrombosis. 31 Distal embolization using GelFoam, 33 a Microcoil, 34 or clotted autologous blood 35 has also been reported for the treatment of guidewire perforations. Rarely, the use of additional stents have been used to seal a coronary perforation, 36,37 but caution must be exercised, as self-expanding and balloonexpandable stents may have the potential to increase the size of the vessel rupture.…”