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Management of guidewire‐induced distal coronary perforation using autologous fat particles versus coil embolization
Author(s) -
Shemisa Kamal,
Karatasakis Aris,
Brilakis Emmanouil S.
Publication year - 2017
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.26542
Subject(s) - medicine , perforation , cardiac tamponade , embolization , percutaneous coronary intervention , complication , surgery , tamponade , radiology , percutaneous , myocardial infarction , materials science , punching , metallurgy
Distal coronary perforation is a rare, yet potentially lethal complication of percutaneous coronary intervention. Early recognition and treatment remains critical in preventing potentially life‐threatening adverse outcomes, such as cardiac tamponade. The most commonly used strategies for treating distal perforation are fat and coil embolization. We present two cases of guidewire‐induced distal coronary perforation and discuss the advantages and disadvantages of coil vs. fat embolization. © 2016 Wiley Periodicals, Inc.