Korean Circ J.  2000 Jan;30(1):103-106. 10.4070/kcj.2000.30.1.103.

Guidewire-Induced Perforation of Distal Circumflex Artery Treated with Transcatheter Embolization of Polyvinyl Alcohol Form

• Ko JY
• Yoo BS
• Lee SH
• Kim JY
• Lee HH
• Lee BK
• Kim JK
• Hwang SO
• Choe KH
• Yoon J

• KMID: 1858436
• DOI: http://doi.org/10.4070/kcj.2000.30.1.103

Abstract

Coronary artery perforation is a rare and serious complication in coronary angioplasty. Some patients complicated by coronary perforation may develop cardiac tamponade, which is generally due to massive hemorrhage in the pericardial space between the epicardium and the pericardium. We report a case of coronary artery perforation producing impending tamponade, which was successfully treated by transcatheter embolization of distal circumflex artery using polyvinyl alcohol.

Keyword

Coronary artery perforation; Transcatheter embolization; Polyvinyl alcohol

MeSH Terms

Angioplasty
Arteries*
Cardiac Tamponade
Coronary Vessels
Hemorrhage
Humans
Pericardium
Polyvinyl Alcohol*
Polyvinyls*
Polyvinyl Alcohol
Polyvinyls