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.
Abstract

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