Abstract
Coronary perforation is a rare complication of percutaneous interventional procedures, occurring in 0.2-3% of procedures, which may require emergency coronary bypass surgery. We describe here an alternative method to deal with such complication, which proved effective in a patient with active bleeding from the left anterior descending (LAD) coronary artery. By temporary pressing on beating heart patches of TachoSil, a sponge impregnated with human fibrinogen and thrombin, on the bleeding site, complete and stable hemostasis was achieved.
MeSH terms
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Aged
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Angioplasty, Balloon, Coronary / adverse effects*
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Coronary Angiography
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Coronary Vessels / injuries
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Coronary Vessels / surgery*
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Drainage
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Drug Combinations
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Female
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Fibrinogen / therapeutic use*
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Hemorrhage / diagnostic imaging
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Hemorrhage / etiology
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Hemorrhage / surgery*
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Hemostatic Techniques*
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Hemostatics / therapeutic use*
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Humans
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Pericardial Effusion / diagnostic imaging
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Pericardial Effusion / etiology
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Pericardial Effusion / surgery*
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Rupture
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Thrombin / therapeutic use*
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Treatment Outcome
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Wounds, Penetrating / diagnostic imaging
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Wounds, Penetrating / etiology
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Wounds, Penetrating / surgery*
Substances
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Drug Combinations
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Hemostatics
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TachoSil
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Fibrinogen
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Thrombin