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

Kamal Shemisa, Aris Karatasakis, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

13 Scopus citations


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.

Original languageEnglish (US)
JournalCatheterization and Cardiovascular Interventions
StateAccepted/In press - 2016



  • Percutaneous coronary intervention; coronary perforation; fat embolization; coil embolization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this