Trehan Vijay Kumar, Mulkhopadhyay Saibal, Yusuf Jamal, Rangasetty Umamahesh C, Arora Ramesh
Department of Cardiology, GB Pant Hospital, New Delhi.
Indian Heart J. 2005 Mar-Apr;57(2):170-1.
Coronary perforation during percutaneous coronary interventions is a rare but dreadful complication. While coronary perforation involving large vessels are managed successfully by covered stents, small distal vessel perforation is usually managed by prolonged balloon inflation or embolization of gel foam/thrombogenic metallic coils. We describe a case, where perforation of a small ventricular branch of the right coronary artery was successfully occluded by packing it with pieces of thrombogenic floppy tips of used coronary angioplasty guidewires instead of conventional metallic coils.
经皮冠状动脉介入治疗期间发生冠状动脉穿孔是一种罕见但可怕的并发症。虽然涉及大血管的冠状动脉穿孔可通过覆膜支架成功处理，但小的远端血管穿孔通常通过延长球囊充盈或使用明胶海绵/致血栓形成金属线圈栓塞来处理。我们描述了一例病例，其中右冠状动脉的一个小室支穿孔通过用使用过的冠状动脉血管成形术导丝的致血栓形成柔软尖端碎片填充而成功闭塞，而非使用传统金属线圈。
