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Coronary artery perforation by cutting balloon resulting in dissecting subepicardial hematoma and avulsion of the vasculature
Author(s) -
Quan Vu H.,
Stone James R.,
Couper Gregory S.,
Rogers Campbell
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20249
Subject(s) - medicine , cutting balloon , cardiogenic shock , perforation , angioplasty , coronary arteries , avulsion , balloon , surgery , hematoma , cardiology , artery , stent , restenosis , radiology , myocardial infarction , punching , materials science , metallurgy
Abstract We report a case of perforation caused by cutting balloon angioplasty of in‐stent restenosis in a saphenous vein coronary bypass graft. This was complicated by a subepicardial hematoma leading to avulsion of the penetrating arteries and cardiogenic shock. Despite surgical evacuation and percutaneous left ventricular assist‐device support, death ensued. Catheter Cardiovasc Interv 2005;64:163–168. © 2005 Wiley‐Liss, Inc.