Other coronary interventions Complications

Link 5: Coil embolisation

Complications: Coronary perforation

Take a look in more detail at the procedures specific to a coil embolisation during a coronary perforation treatment.

Take a look in more detail at the procedures specific to a coil embolisation during a coronary perforation treatment.

The specific devices below are not necessarily available in every cathlab.

Needs expertise in their use, but not difficult to perform:
- Detachable coils, optimal positioning can be confirmed before releasing
- Pushable coils, smaller but no repositioning
Deliverability through microcatheter:
- For a “usual” coil:
  - Progreat 2.8Fr (Terumo)
- For smaller coils like 0.018" Nester, Tornado Platinium or Hilal Embolisation Microcoil (Cook Medical Bloomington, IN):
  - Finecross® MG 2.6Fr (Terumo)
  - OTW balloons (certain brands)

Reference

Tarar et al Catheterization and Cardiovascular Interventions 2015
Shemisha et al Catheterization and Cardiovascular Interventions 2016

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

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Type I coronary perforation Type II coronary perforation Type III coronary perforation Type IV coronary perforation Type V coronary perforation Post-procedural care after coronary perforation

Additional Links

Link 1: inflate balloon at perforation site Link 2: How to implant a covered stent Link 3: Different covered stent brands Link 4: Thrombin injection Link 5: Coil Embolisation Link 6: Autologous subcutaneous fat embolisation Double guide catheters technique References: Coronary perforation