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Published on: November 4, 2021
[Successful embolization of a distal coronary artery perforation using the "block and deliver" technique]
Gabriele L Gasparini1, Gennaro Petriello1, Jorge Sanz Sanchez1
1Dipartimento di Cardiologia Invasiva, Humanitas Research Hospital, Rozzano (MI).
Insights
Coronary artery perforation during percutaneous coronary intervention can be fatal. A novel "block and deliver" technique successfully sealed a distal coronary perforation, offering a simple and effective treatment option for interventional cardiologists.
Area of Science:
- Interventional Cardiology
- Vascular Medicine
- Medical Device Technology
Background:
- Coronary perforation is a rare but serious complication of percutaneous coronary intervention (PCI).
- Existing treatment strategies lack standardization, relying heavily on operator experience.
- Prompt and effective sealing of coronary perforations is crucial to prevent adverse outcomes.
Abstract:
Coronary perforation is a rare but potentially lethal complication of percutaneous coronary intervention and it is associated with an increased risk of adverse outcomes. There are no standardized techniques to achieve prompt and effective perforation sealing and treatment is left to the operator's preference and expertise. We report a case of successful embolization of a distal coronary artery perforation using the "block and deliver" technique. The technique is relatively simple and safe, it was effective, and we are strongly convinced that it may be helpful to all interventional cardiologists in their daily practice.
