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Published on: November 4, 2021
Treatment of Vascular Perforation Bleeding Complications Post-Coronary Intervention Using Coils
Nguyen Cong Ha1, Nguyen Dinh Phuc1, Hoang Van1
1Hanoi Heart Hospital, Hanoi, Vietnam.
Insights
Artery perforation during percutaneous coronary intervention (PCI) can cause severe bleeding. Coil embolization is a vital technique for sealing these perforations and aneurysms, proving lifesaving in critical situations.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
- Radiology
Background:
- Artery perforation is a rare but serious complication of percutaneous coronary intervention (PCI).
- Prompt recognition and management are critical, especially in high-risk patients or complex procedures.
- Uncontrolled hemorrhage from vessel perforation can be life-threatening.
Purpose of the Study:
- To highlight the successful management of artery perforations and aneurysms using coil embolization.
- To emphasize the effectiveness of coil embolization in achieving hemostasis and preventing complications.
- To underscore the importance of timely diagnosis and intervention in managing these critical events.
Main Methods:
- Case series report detailing three distinct cases of artery perforation.
- Interventional procedures involving coil embolization to seal perforated or ruptured vessels.
- Management focused on achieving hemostasis and patient stabilization.
Main Results:
- Successful coil embolization was achieved in all three presented cases.
- Coil embolization effectively controlled hemorrhage from artery perforations and an aneurysm.
- Patients were stabilized, and further complications were prevented post-intervention.
Conclusions:
- Coil embolization is a crucial, lifesaving technique for managing artery perforations and aneurysmal ruptures.
- Timely diagnosis, technical expertise, and availability of advanced interventional tools are paramount.
- High-risk interventions necessitate careful planning and skilled execution.
Background:
Perforation of artery causing bleeding is a rare but serious complication of percutaneous coronary intervention (PCI), with potentially life-threatening consequences. Prompt recognition and management are crucial, particularly in high-risk patients or complex procedures. Coils are essential tools for sealing perforated or ruptured vessels, preventing further haemorrhage and stabilising the patient.
Case Description:
This report highlights three cases of perforated artery managed with coil embolization. The first case involved perforation of a small branch of the internal mammary artery, the second a ruptured aneurysm in the superior mesenteric artery and the third a distal branch perforation of the diagonal artery. All patients presented with significant haemorrhage, requiring urgent intervention. Coil embolization was successfully performed in all cases, achieving haemostasis and preventing further complications.
Conclusion:
Coil embolization is a lifesaving technique for managing perforated artery or ruptured aneurysm, emphasising the importance of timely diagnosis, technical expertise and the availability of advanced interventional tools.
Learning Points:
Perforation of artery causing bleeding is a rare but life-threatening complication of percutaneous coronary intervention.Coil embolization is a lifesaving technique for distal vessel perforations and aneurysmal ruptures.High-risk interventions demand careful planning, expertise and ready access to advanced tools such as coils.
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