Huge coronary perforation during percutaneous intervention sealed by injection of polyvinyl alcohol microspheres

J Cardiovasc Med (Hagerstown). 2015 Jan:16 Suppl 2:S130-2. doi: 10.2459/JCM.0b013e328341d08f.

Abstract

During percutaneous coronary intervention, coronary perforation is one of the most feared life-threatening complications, as it may cause cardiac tamponade or acute myocardial infarction. The incidence of this serious complication in recent years has increased from 0.2 to 0.6%, most likely due to the increase of complex procedures. However, the management of coronary perforation has not been established yet. We report the first case of coronary perforation successfully managed with intracoronary injection of hydrogel microspheres.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / injuries*
  • Heart Injuries / diagnostic imaging
  • Heart Injuries / etiology
  • Heart Injuries / therapy*
  • Humans
  • Male
  • Microspheres*
  • Percutaneous Coronary Intervention / adverse effects*
  • Polyvinyl Alcohol / administration & dosage*
  • Radiography

Substances

  • Polyvinyl Alcohol