A novel method to bail out coronary perforation: Micro‐catheter distal perfusion technique

Ishihara, Shozo; Tabata, Shiro; Inoue, Takehiro

doi:10.1002/ccd.26018

Cited by 8 publications

(3 citation statements)

References 15 publications

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“…However, this attempt is sometimes difficult to continue because of ischemia (uncommon in CTO–PCI due to presence of collaterals). To relieve chest pain and avoid ischemia to distal area during balloon inflation, a microcatheter over another guidewire is positioned distal to site of perforation and the patient's own arterial blood via microcatheter is injected (microcatheter distal perfusion technique) 13 . In case of life-threatening bleeds, reversal of heparin with protamine is indicated only after removal of all equipments from coronary artery.…”

Section: Acute Coronary Complicationsmentioning

confidence: 99%

Complications encountered in coronary chronic total occlusion intervention: Prevention and bailout

Dash

2016

Indian Heart Journal

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Despite the continuing developments of improved medical devices and increasing operator expertize, coronary chronic total occlusion (CTO) remains as one of the most challenging lesion subsets in interventional cardiology. Percutaneous coronary intervention (PCI) of CTO is a complex procedure carrying the risk of complications that are responsible for significant morbidity and mortality. The complications can be classified as coronary (such as coronary occlusion, perforation, device embolization, or entrapment); cardiac non-coronary (such as periprocedural myocardial infarction); extra cardiac (such as vascular access complications, systemic embolization, contrast-induced nephropathy, and radiation-induced injury). Further, certain complications (such as donor vessel dissection or thrombosis) are unique to CTO-PCI. There are also complications related to specialized techniques, such as dissection/reentry and retrograde crossing techniques. A thorough understanding of the potential complications is critical to mitigate risk during these complex procedures.

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Section: Acute Coronary Complicationsmentioning

confidence: 99%

Complications encountered in coronary chronic total occlusion intervention: Prevention and bailout

Dash

2016

Indian Heart Journal

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“…Несмотря на то что в некоторых исследовани-ях женщин признавали более склонными к перфорациям коронарных артерий из-за меньшего размера сосудов, в дальнейших работах не нашли связи между полом и ве-роятностью перфорации коронарных артерий. Многие сложные техники и специальные инструменты могут уве-личить риск перфорации [10]. Перфорация коронарной артерии может произойти при использовании проводни-ковых катетеров, коронарных проводников, несоразмер-ных баллонных катетеров и стентов, режущих баллонных катетеров, ротаблаторов, катетера для внутрисосудистого ультразвука, техники циторедукции или разрыве баллона [15].…”

Section: Discussionunclassified

“…Эм-болизация применяется при перфорации дистальной час-ти коронарной артерии или мелкой (менее 1,5 мм) ветви. Для эмболизации применяются масло, гелевая пена, по-ливинил алкоголь, подкожный жир пациента, тромбин и аутологичные сгустки крови [10][11][12]14]. В исследовании мы провели эмболизацию коронар-ных артерий у 5 пациентов с классом перфорации II и у шести пациентов с классом перфорации III по Эллис.…”

Section: Discussionunclassified

Effect of transcatheter embolization by tissue adhesive Histoacryl in treatment of coronary artery perforation during percutaneous coronary intervention

Шермук¹,

Krestyaninov²,

Khelimskiy³

et al. 2017

PKiK

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Aim. Coronary artery perforation (CAP) is a rare but severe complication of percutaneous coronary intervention (PCI). The aim of our study was to evaluate the effect and safety of transcatheter embolization by tissue adhesive Histoacryl when treating CAP. Methods. As CAP was confirmed, the final composition of the tissue adhesive histoacryl and radiopaque agent Lipiodol was prepared. The perforated vessel was embolized by tissue adhesive Histoacryl via a micro-catheter. There were eleven patients undergoing transcatheter embolization by Histoacryl in treatment of CAP during PCI at Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology from March 2013 to February 2016, and the clinical data of these patients were collected and analyzed retrospectively. Results. The lesion morphology of the patients was classified by using the American College of Cardiology/American Heart Association Task Force classification, there were four patients with Class B2 lesions and seven patients with Class C lesions (there also were four patients with chronic total occlusion lesions). According to the Ellis classification of CAP, there were five patients with Class II perforations and six patients with Class III perforations. The causes of perforation were a guide wire (ten patients) and balloon predilation (one patient). Three patients had pericardial effusion. All of the eight patients with CAP underwent transcatheter embolization by Histoacryl. Coronary angiography confirmed that all of them had been embolized successfully. There were no severe postoperative complications. Conclusion. Transcatheter embolization by Histoacryl is an effective, safe, cheap, and easy way to treat perforation of small vessels during PCI.Received 14 September 2016. Accepted 2 February 2017.Financing: The study did not have sponsorship.Conflict of interest: Conflict of interest: Evgeny I. Kretov served as guest editor on this issue on vascular surgery. The other authors declare no conflict of interest.Author contributionsData collection and analysis: Shermuk A.A., Naryshkin I.A., Grankin D.S., Zubarev D.D., Ibragimov R.U., Baystrukov V.I. Drafting the article: Shermuk A.A., Khelimskiy D.A., Krestyaninov O.V. Critical revision: Shermuk A.A., Khelimskiy D.A., Krestyaninov O.V., Kretov E.I.

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Complications

Quang¹,

Cong²,

Nguyen³

et al. 2020

Practical Handbook of Advanced Interventional Cardiology

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A novel method to bail out coronary perforation: Micro‐catheter distal perfusion technique

Cited by 8 publications

References 15 publications

Complications encountered in coronary chronic total occlusion intervention: Prevention and bailout

Complications encountered in coronary chronic total occlusion intervention: Prevention and bailout

Effect of transcatheter embolization by tissue adhesive Histoacryl in treatment of coronary artery perforation during percutaneous coronary intervention

Complications

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