Use of “super‐glue” to seal a perforation during chronic total occlusion coronary intervention and the potential to “unglue” it | Zendy

Rafeedheen Rahil | Zendy; Agarwal Shiv K. | Zendy; Meek James C. | Zendy; Uretsky Barry F. | Zendy

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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.

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