Absorbable Suture Embolization in Distal Coronary Perforation

Mohammed S Al-Omary; Nicholas J Collins; Jonathan G Sung; Rohan Bhagwandeen; Ka Hei Ho; Ping Wa Yam; Eugene B Wu; Ho Lam

doi:10.1016/j.jaccas.2021.11.017

Absorbable Suture Embolization in Distal Coronary Perforation

JACC Case Rep. 2022 Feb 2;4(3):133-136. doi: 10.1016/j.jaccas.2021.11.017.

Authors

Mohammed S Al-Omary^{1

2

3}, Nicholas J Collins², Jonathan G Sung³, Rohan Bhagwandeen², Ka Hei Ho³, Ping Wa Yam³, Eugene B Wu¹, Ho Lam³

Affiliations

¹ Prince of Wales Hospital, Chinese University Hong Kong, Hong Kong.
² John Hunter Hospital, Newcastle, Australia.
³ Tuen Mun Hospital, Hong Kong.

Abstract

Coronary artery perforation is a rare but serious complication during percutaneous coronary intervention. Distal or small vessel perforation is usually treated by coil, fat, or microsphere embolization. We describe 5 cases of distal coronary perforation that were managed successfully by a novel technique that uses absorbable sutures. (Level of Difficulty: Advanced.).

Keywords: CAP, coronary artery perforation; CTO, chronic total occlusion; LCx, left circumflex artery; PCI, percutaneous coronary intervention; PLB, posterolateral branch; RCA, right coronary artery; absorbable suture; coronary artery perforation.

Publication types

Case Reports