Distal coronary perforation is a rare, yet potentially lethal complication of percutaneous coronary intervention. Early recognition and treatment remains critical in preventing potentially life-threatening adverse outcomes, such as cardiac tamponade. The most commonly used strategies for treating distal perforation are fat and coil embolization. We present two cases of guidewire-induced distal coronary perforation and discuss the advantages and disadvantages of coil vs. fat embolization. © 2016 Wiley Periodicals, Inc.
Keywords: coil embolization; coronary perforation; fat embolization; percutaneous coronary intervention.
© 2016 Wiley Periodicals, Inc.