Case study: reversing heparin Type V perforation

Complications - Coronary perforation

Consult this case study on reversing heparin in a Type V coronary perforation complication, a female 76-year old patient.

Strategy

  • Avoid hydrophilic / polymeric wire, except if necessary. If we need a stiff wire, we will change to soft wire where passed through the lesion
  • We must keep view of the wire tip at angiography
  • In case of a side-branch perforation, keep your guidewire in place, in case you need to inject thrombin through an OTW balloon