Coronary artery perforation by cutting balloon resulting in dissecting subepicardial hematoma and avulsion of the vasculature | Zendy

Quan Vu H. | Zendy; Stone James R. | Zendy; Couper Gregory S. | Zendy; Rogers Campbell | Zendy

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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

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.

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