Morisawa Daisuke, Okamura Atsunori, Date Motoo, Nagai Hiroyuki, Iwakura Katsuomi, Fujii Kenshi
Division of Cardiology, Sakurabashi Watanabe Hospital, 2-4-32 Umeda, Kita-ku, Osaka, 530-0001, Japan.
Cardiovasc Interv Ther. 2014 Jan;29(1):86-92. doi: 10.1007/s12928-013-0198-4. Epub 2013 Jul 20.
We describe one case of septal and two cases of epicardial collateral channel perforation during percutaneous coronary intervention by the retrograde approach for chronic total occlusion. After coil embolization of the channel perforation area, additional treatments were required in all three cases to stop bleeding. All three cases required injection of autologous clots, with one case also requiring subsequent injection of fibrin glue.
我们描述了1例在经皮冠状动脉介入治疗慢性完全闭塞病变采用逆行途径时发生间隔支和2例心外膜侧支血管穿孔的病例。在对穿孔区域进行弹簧圈栓塞后，所有3例均需要进一步治疗以止血。所有3例均需要注射自体血凝块，其中1例随后还需要注射纤维蛋白胶。
