The Balloon-Microcatheter technique offers a potentially fast and effective method for managing life-threatening coronary perforations during PCI using standard equipment.
The balloon-microcatheter technique may enable single-catheter CP sealing; extends bailout options but leaves open safety and efficacy pending prospective data.
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.
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Garbo et al. (2016) studied this question.
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