Management of guidewire-induced distal coronary perforation using autologous fat particles versus coil embolization

Catheter Cardiovasc Interv. 2017 Feb 1;89(2):253-258. doi: 10.1002/ccd.26542. Epub 2016 May 3.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiac Catheterization
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / injuries*
  • Embolization, Therapeutic / instrumentation*
  • Heart Injuries / diagnostic imaging
  • Heart Injuries / etiology
  • Heart Injuries / therapy*
  • Humans
  • Male
  • Percutaneous Coronary Intervention / adverse effects*
  • Pericardial Effusion / etiology
  • Subcutaneous Fat / transplantation*
  • Transplantation, Autologous
  • Treatment Outcome