The Balloon-Microcatheter technique for treatment of coronary artery perforations

Catheter Cardiovasc Interv. 2017 Feb 1;89(2):E75-E83. doi: 10.1002/ccd.26651. Epub 2016 Jul 29.

Abstract

Coronary perforation (CP) is a rare but potentially lethal complication of percutaneous coronary intervention (PCI). Management of CP is mainly conditioned by the extension of coronary rupture and location of the perforation. Successful treatment is highly affected by the operator's familiarity with tools and dedicated techniques to achieve prompt sealing of the disruption. We describe a "Balloon-Microcatheter" technique that may allow fast, safe, and effective management of CP with a single ≥ 6 Fr guiding catheter. © 2016 Wiley Periodicals, Inc.

Keywords: complications; coronary chronic total occlusion; outcomes; percutaneous coronary intervention; retrograde approach.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Balloon Occlusion / instrumentation*
  • Cardiac Catheters*
  • Coronary Angiography
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / therapy*
  • Coronary Restenosis / diagnostic imaging
  • Coronary Restenosis / etiology
  • Coronary Restenosis / therapy*
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / injuries*
  • Equipment Design
  • Humans
  • Male
  • Miniaturization
  • Percutaneous Coronary Intervention / adverse effects*
  • Percutaneous Coronary Intervention / instrumentation
  • Stents
  • Treatment Outcome
  • Ultrasonography, Interventional
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology
  • Vascular System Injuries / therapy*