Coronary artery rupture during balloon angioplasty, rescued with localized thrombin injection and coil embolization

Distal intracoronary thrombin injection has been used successfully to seal very small, guidewire related, coronary artery perforations during percutaneous coronary intervention. This case report expands upon this therapeutic approach, by describing the use of high dose distal thrombin injection for...

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Bibliographic Details
Published inCatheterization and cardiovascular interventions Vol. 68; no. 2; pp. 254 - 257
Main Authors Fischell, Tim A., Carter, Andrew J., Ashraf, Kamal, Birdsall, Joseph, Smoker, Sandy
Format Journal Article
LanguageEnglish
Published Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.08.2006
Subjects
Aged
angioplast
Angioplasty, Balloon, Coronary - adverse effects
Combined Modality Therapy
complications
coronary perforation
Coronary Vessels - injuries
Embolization, Therapeutic
Hemostatics - administration & dosage
Humans
Male
Rupture
thrombin
Thrombin - administration & dosage
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Summary:Distal intracoronary thrombin injection has been used successfully to seal very small, guidewire related, coronary artery perforations during percutaneous coronary intervention. This case report expands upon this therapeutic approach, by describing the use of high dose distal thrombin injection for the successful (non‐surgical) management of balloon‐induced coronary artery rupture, with an intrapericardial leak. © 2006 Wiley‐Liss, Inc.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.20714