Key result
Helical platinum microcoil embolization successfully managed a small coronary artery perforation with continued leakage, avoiding surgery in a high-risk patient.
Case Report (n=1)
Helical platinum microcoil embolization can be a successful strategy to manage small coronary artery perforations during percutaneous coronary intervention, potentially avoiding the need for emergency surgery.
May offer bailout for refractory small perforations in high-risk patients; hypothesis-generating case report requiring prospective validation.
A case of small coronary artery perforation during coronary intervention is presented. Continued leakage occurred despite prolonged intracoronary balloon inflation, in part probably related to the use of glycoprotein (GP) IIB/IIIA inhibitors. It was successfully managed by microcoil embolization without any sequel, helping avoid surgery in a high-risk patient. Cathet. Cardiovasc. Intervent. 51:320-322, 2000.
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Aslam et al. (2000) conducted a case report in Coronary artery perforation during coronary intervention (n=1). Helical platinum microcoil embolization was evaluated on Management of coronary artery perforation. Helical platinum microcoil embolization successfully managed a small coronary artery perforation with continued leakage, avoiding surgery in a high-risk patient.