Related Experiment Video

Updated: Nov 28, 2025

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model
07:20

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model

Published on: February 10, 2023

1.5K

Huge Cavity Spilling Coronary Perforation Management: When the Basic Works Well

Marcos Danillo P Oliveira1, Ednelson Cunha Navarro, Adriano Caixeta

  • 1Napoleão de Barros street, n° 715 - Vila Clementino, Sao Paulo-SP, Brazil, 04024-002. mdmarcosdanillo@gmail.com.

The Journal of Invasive Cardiology
|December 1, 2020
PubMed

Insights

Type III coronary artery perforation, a rare complication, can be safely managed with prolonged balloon inflation and anticoagulation reversal. This conservative approach avoids compromising the final percutaneous coronary intervention (PCI) outcome.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Medicine
  • Medical Complications

Background:

  • Coronary artery perforation is a rare but serious complication during percutaneous coronary intervention (PCI).
  • Type III cavity-spilling perforations present unique management challenges due to their size and potential for hemodynamic compromise.

Purpose of the Study:

  • To evaluate the efficacy and safety of conservative management for Type III cavity-spilling coronary artery perforations.
  • To assess whether prolonged balloon inflation and anticoagulation reversal impact the final PCI result.

Main Methods:

  • Retrospective analysis of patients experiencing Type III coronary artery perforation.
  • Application of prolonged balloon inflation and prompt anticoagulation reversal as the primary management strategy.
  • Assessment of procedural success, complications, and long-term outcomes.

Main Results:

  • Conservative management with prolonged balloon inflation and anticoagulation reversal was successful in all cases.
  • No compromise in the final PCI result was observed in patients managed conservatively.
  • The technique effectively sealed the perforation without requiring more invasive interventions.

Conclusions:

  • Prolonged balloon inflation combined with anticoagulation reversal is a safe and effective conservative strategy for Type III cavity-spilling coronary artery perforations.
  • This approach allows for successful PCI completion without adverse effects on the final outcome.
  • It offers a viable alternative to more complex interventions for managing this specific complication.

Keywords:
angiographycardiac imagingcoronary artery perforationdistal transradial intervention

More Related Videos

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.9K
Establishment and Evaluation of a Porcine Vein Graft Disease Model08:50

Establishment and Evaluation of a Porcine Vein Graft Disease Model

Published on: July 25, 2022

2.0K

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
261
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
268
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
124
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
123