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Conservative Management of an Epicardial Collateral Perforation During Retrograde Chronic Total Occlusion

Christian Ngo, George Christopoulos, Emmanouil S Brilakis1

  • 1VA North Texas Health Care System, The University of Texas Southwestern Medical Center at Dallas, Division of Cardiology (111A), 4500 S. Lancaster Rd, Dallas, TX 75216 USA. esbrilakis@gmail.com.

The Journal of Invasive Cardiology
|December 31, 2015
PubMed

Insights

Coronary artery perforation during chronic total occlusion interventions is serious. This case shows conservative management with anticoagulation reversal successfully treated collateral vessel perforation.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Research
  • Medical Case Reports

Background:

  • Coronary artery perforation is a significant risk during percutaneous coronary intervention (PCI), especially for chronic total occlusions (CTOs).
  • Perforation of epicardial collaterals during retrograde CTO-PCI presents unique challenges for bleeding control.
  • Complications can include pericardial effusion, tamponade, and the need for emergency cardiac surgery.

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