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Use of “super‐glue” to seal a perforation during chronic total occlusion coronary intervention and the potential to “unglue” it
Author(s) -
Rafeedheen Rahil,
Agarwal Shiv K.,
Meek James C.,
Uretsky Barry F.
Publication year - 2020
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.28399
Subject(s) - medicine , glue , conventional pci , perforation , percutaneous coronary intervention , surgery , angioplasty , lumen (anatomy) , cyanoacrylate , balloon , seal (emblem) , coronary occlusion , complication , occlusion , cardiology , myocardial infarction , layer (electronics) , art , visual arts , chemistry , materials science , punching , adhesive , organic chemistry , composite material , metallurgy
Coronary perforation remains a dreaded complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We present a case of successful CTO recanalization complicated by a perforation treated by n‐butyl‐cyanoacrylate (medical “super‐glue”). We also present an in vitro experiment showing that a glue plug in a plastic tube can acutely be passed by a low tip load guide wire and undergo balloon angioplasty recreating a lumen. These results suggest that n‐butyl‐cyanoacrylate glue may be an alternative for treating perforation during CTO PCI with the possibility of recanalizing the vessel through the glue plug at a later time.