Handmade Embolization Coil for Managing Guidewire-Induced Coronary Perforation
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Published on: February 18, 2020
Kensuke Yokoi1, Goro Yoshioka1, Koichi Node1
1Department of Cardiovascular Medicine, Saga University, Saga, Japan.
Insights
A rare complication during coronary intervention, a guidewire-induced perforation, was successfully treated. A novel handmade coil achieved hemostasis when commercial devices were unavailable.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Innovation
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for coronary artery disease.
- Guidewire-induced perforation is a rare but serious complication during PCI.
- Challenges in managing such perforations can arise from device limitations.
Abstract:
This paper reports the case of an 83-year-old woman who underwent percutaneous coronary intervention in the left circumflex coronary artery complicated by a guidewire-induced perforation. Hemostasis was successfully achieved using a handmade coil prepared from available devices during percutaneous coronary intervention due to challenges with commercial microcoils.

