Successful management of a distal vessel perforation through a single 8-French guide catheter: Combining balloon inflation for bleeding control with coil embolization

Muhammad N J Tarar, Georgios E. Christakopoulos, Emmanouil S. Brilakis

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Coronary perforation is an infrequent, but serious complication of percutaneous coronary intervention (PCI), and is more likely to occur with complex (such as chronic total occlusion) PCI and use of atheroablative devices. For main vessel perforations, the "dual catheter" technique is usually employed in which a balloon is delivered over the first guide catheter to stop bleeding, whereas the covered stent is delivered through a second guide catheter. This is required because the large profile of the currently commercially available covered stents precludes fitting within even an 8-French guide together with a balloon. However, coil embolization for distal artery wire perforation and collateral vessel perforation can be achieved through a microcatheter that can fit along with a balloon within an 8-French guide catheter, obviating the need for a second guide catheter. We describe a case in which a distal artery wire perforation was successfully treated using a single 8-French guide catheter.

Original languageEnglish (US)
Pages (from-to)412-416
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume86
Issue number3
DOIs
StatePublished - Sep 1 2015

Keywords

  • chronic total occlusion
  • complications
  • outcomes
  • percutaneous coronary intervention
  • perforation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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