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Short and long-term outcomes of coronary perforation managed by coil embolization: A single-center experience

Qing Qin1, Shufu Chang1, Rende Xu1

  • 1Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Disease, NO 180, Fenglin Road, Shanghai 200032, China.

International Journal of Cardiology
|August 13, 2019
PubMed

Insights

Coil embolization effectively manages coronary perforation during percutaneous coronary intervention (PCI), including complex chronic total occlusion (CTO) cases. This technique offers favorable short and long-term outcomes, facilitating successful revascularization.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Coronary perforation is a significant complication during percutaneous coronary intervention (PCI).
  • Effective management strategies are crucial for patient outcomes.
  • Coil embolization has emerged as a potential treatment modality.

Purpose of the Study:

  • To evaluate the short and long-term outcomes of patients with coronary perforation treated with coil embolization.
  • To assess the efficacy of coil embolization in managing both distal and collateral coronary perforations.
  • To determine the role of coil embolization in facilitating revascularization of chronic total occlusion (CTO) lesions.

Main Methods:

  • Retrospective analysis of 66 patients undergoing PCI with coil embolization for coronary perforation (Oct 2012 - June 2018).
  • Categorization of perforations into distal coronary and collateral types.
  • Assessment of procedural success, complications, and follow-up outcomes including major adverse cardiac events.

Main Results:

  • Coil embolization was used in 66 cases of coronary perforation (26 distal, 40 collateral).
  • Successful revascularization was achieved in 72.2% of CTO cases using coil embolization.
  • No deaths or myocardial infarctions were detected during a mean follow-up of 707 days, with only one late CABG in the collateral perforation group.

Conclusions:

  • Coil embolization is a feasible and effective treatment for distal and collateral coronary perforations during PCI.
  • This technique aids in the successful revascularization of complex CTO lesions.
  • Coil embolization demonstrates favorable safety and efficacy in managing PCI-related coronary perforations.
Abstract

Keywords:
Chronic total occlusionCoilCollateralCoronary perforation

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