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Case study: distal perforation coils Type V perforation

Complications - Coronary perforation

Consult this case study on using distal perforation coils, a 76-year-old male patient with dyslipidemia and hypertension.

Strategy

  • Always keep an eye on the distal part of your wire
  • Look at the movement of your distal wire
  • Retrieve / Retract the wire a little for the final injection
  • Do not retrieve your wire before a double check of potential perforation

 
Avoid perforation

  • Take care with distal guidewire position
  • Before a final injection, retrieve the wire a little from a distal position

 
Perforation

  • Balloon inflation
  • Consider coil after several minutes of balloon inflation
  • Know your material

3 comments

  • Mansoor Nasir 11 Jun 2017

    The appearance seems to be intra-myocardial heamatoma rather than free perforation. No change in size after multiple injections. No clinical, heamodynamic and echo-cardiographic findings were mentioned, in the absence of which treatment is that of a angiographic finding rather than of patient. Wait and see anyone?????

  • ramesh sankaran 22 Jun 2017

    BALLOON INFLATION OR USE FINE CROSS MICROCATHER TO DELIEVER GLUE OR BLOOD CLOT TO SEAL THE PERFORATION

  • eric guis 29 Jun 2017

    ERIC GUIS 26 JUN 2017: THE COIL SEEM TO BE IN THE DISTALITY OF THE MARGINAL BRANCH

Disclaimer

This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.