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A unique complication of the retrograde approach in angioplasty for chronic total occlusion of the coronary artery
Author(s) -
Matsumi Jyunya,
Adachi Koichi,
Saito Shigeru
Publication year - 2008
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.21638
Subject(s) - medicine , cardiac tamponade , perforation , complication , angioplasty , tamponade , surgery , embolization , occlusion , radiology , artery , cardiology , materials science , punching , metallurgy
Abstract The retrograde approach for chronic total occlusion of coronary arteries is a new treatment strategy, although its attendant complications have not yet been fully appreciated. We report a case of isolated left ventricular cardiac tamponade caused by guidewire‐induced perforation of the septal branch during the retrograde approach, which was subsequently diagnosed by computed tomography (CT) and which required surgical drainage. Guidewire‐induced perforation of the septal branch was successfully treated by autologous subcutaneous tissue embolization of the perforated coronary artery. This is the first case of its kind to date. © 2008 Wiley‐Liss, Inc.