Celiento Michele, Scioti Giovanni, Pratali Stefano, Bortolotti Uberto
Section of Cardiac Surgery, Cardiac Thoracic and Vascular Department, University of Pisa Medical School, 56124 Pisa, Italy.
Interact Cardiovasc Thorac Surg. 2010 Feb;10(2):328-30. doi: 10.1510/icvts.2009.225334. Epub 2009 Nov 19.
Coronary perforation is a rare complication of percutaneous interventional procedures, occurring in 0.2-3% of procedures, which may require emergency coronary bypass surgery. We describe here an alternative method to deal with such complication, which proved effective in a patient with active bleeding from the left anterior descending (LAD) coronary artery. By temporary pressing on beating heart patches of TachoSil, a sponge impregnated with human fibrinogen and thrombin, on the bleeding site, complete and stable hemostasis was achieved.
冠状动脉穿孔是经皮介入手术中一种罕见的并发症，发生率为0.2%-3%，可能需要进行急诊冠状动脉搭桥手术。我们在此描述一种处理此类并发症的替代方法，该方法在一名左前降支（LAD）冠状动脉活动性出血的患者中被证明是有效的。通过在跳动的心脏上临时按压含有人类纤维蛋白原和凝血酶的海棉状速即纱贴片于出血部位，实现了完全且稳定的止血。
