Li Yue, Wang Guotao, Sheng Li, Xue Jingyi, Sun Danghui, Gong Yongtai
Cardiovascular Department, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China; Cardiovascular Department, Daqing People's Hospital, Daqing, Heilongjiang Province, China.
Rev Cardiovasc Med. 2015;16(2):165-9. doi: 10.3909/ricm0768.
Coronary artery perforation (CAP) is an infrequent yet potentially life-threatening complication of percutaneous coronary intervention. We report, for the first time, two cases of successful closure of guidewire-induced distal CAP with silk suture embolization using a microcatheter. This technique appears to be safe, simple, and effective for the treatment of distal guidewire perforations, even in refractory cases.
冠状动脉穿孔（CAP）是经皮冠状动脉介入治疗中一种罕见但可能危及生命的并发症。我们首次报告了两例使用微导管通过丝线缝合栓塞成功闭合导丝引起的远端CAP的病例。即使在难治性病例中，该技术对于治疗远端导丝穿孔似乎也是安全、简单且有效的。
