Coronary perforation with tamponade successfully managed by retrograde and antegrade coil embolization

Autor: Marouane Boukhris, Salvatore D. Tomasello, Alfredo R. Galassi, Salvatore Azzarelli, Zied Ibn Elhadj, Francesco Marzà
Rok vydání: 2015
Předmět:
Zdroj: Journal of the Saudi Heart Association. 27(3):216-221
ISSN: 1016-7315
DOI: 10.1016/j.jsha.2015.02.005
Popis: In recent years, retrograde approach for chronic total occlusions has rapidly evolved, enabling a higher rate of revascularization success. Compared to septal channels, epicardial collaterals tend to be more tortuous, more difficult to negotiate, and more prone to rupture. Coronary perforation is a rare but potentially life-threatening complication of coronary angioplasty, often leading to emergency cardiac surgery. We report a case of a retrograde chronic total occlusion revascularization through epicardial collaterals, complicated by both retrograde and antegrade coronary perforation with tamponade, and successfully managed by coil embolization.
Databáze: OpenAIRE