Conservative Management of an Epicardial Collateral Perforation during Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention

Christian Ngo, George Christopoulos, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Coronary artery perforation is a highly feared complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and can lead to pericardial effusion, tamponade, and, rarely, emergent cardiac surgery. Perforation of epicardial collaterals during retrograde CTO-PCI may be particularly challenging to treat, as embolization from both sides of the perforation may be required to control the bleeding. However, conservative measures can occasionally be effective. We present a case of epicardial collateral vessel perforation that was managed conservatively with anticoagulation reversal.

Original languageEnglish (US)
Pages (from-to)E11-E12
JournalJournal of Invasive Cardiology
Volume28
Issue number1
StatePublished - Jan 2016

Keywords

  • bridging
  • complications
  • outcomes
  • percutaneous coronary intervention
  • surgery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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