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Coronary vessel perforation during balloon angioplasty: a case report
S Hadjimiltiades1, S Paraskevaides, G Kazinakis
1A' Cardiology Clinic, AHEPA General Hospital, Aristotelion University of Thessaloníki, Greece. stavros@mail.otenet.gr
Insights
A novel technique successfully sealed a coronary artery perforation using autologous blood injection. This method maintained distal vessel patency, offering a potential alternative to traditional treatments for coronary perforation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Coronary artery perforation is a rare but serious complication during percutaneous coronary interventions.
- Management options include prolonged balloon inflations, covered stents, and vessel embolization, each with potential drawbacks.
Observation:
- A case of balloon-induced perforation in the distal left anterior descending artery is presented.
- The perforation was successfully sealed by injecting preclotted autologous blood directly through the balloon catheter lumen.
Findings:
- The autologous blood injection technique effectively achieved hemostasis at the perforation site.
- Crucially, the patency of the distal left anterior descending artery was preserved post-procedure.
Implications:
- This case highlights a minimally invasive and potentially effective method for managing coronary artery perforations.
- Autologous blood injection may offer a valuable alternative, preserving vessel patency and avoiding more complex interventions.
Abstract:
Coronary perforation can be managed with prolonged balloon inflations, covered stents, or embolization of the vessel. We report on a case of a balloon-induced perforation of the distal left anterior descending artery, that was sealed by injecting preclotted autologous blood through the balloon catheter lumen at the site of the perforation. The patency of the distal vessel was maintained.