Foreign Body Granulomatous Change from Absorbable Gelatin Sponge and Microcoil Embolization after a Guidewire-induced Perforation in the Distal Coronary Artery

• Published in: Internal Medicine Vol. 49; no. 17; pp. 1871 - 1874
• Main Authors: Kawano, Hiroaki, Arakawa, Shuji, Satoh, Osami, Matsumoto, Yuji, Hayano, Motonobu, Miyabara, Shinichi
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.01.2010
• Subjects: Aged, 80 and over; Angioplasty, Balloon, Coronary - adverse effects; Anticoagulants - therapeutic use; Autopsy; complication; coronary artery; Coronary Vessels - injuries; Coronary Vessels - pathology; Embolization; Embolization, Therapeutic - adverse effects; Embolization, Therapeutic - instrumentation; Foreign bodies; Gelatin; gelatin sponge; Gelatin Sponge, Absorbable - adverse effects; Granuloma; Granuloma, Foreign-Body - etiology; Granuloma, Foreign-Body - pathology; Heart Failure - etiology; Hemostatic Techniques; Humans; Male; minicoil; pathology; percutaneous coronary intervention; perforation; Stents; Wounds, Penetrating - etiology; Wounds, Penetrating - therapy
• ISSN: 0918-2918; 1349-7235; 1349-7235
• DOI: 10.2169/internalmedicine.49.3750

We report an autopsy case of treatment by absorbable gelatin sponge and microcoil embolization after perforation of the distal coronary artery by guidewire. Histological examination revealed a foreign body granuloma in the coronary artery with embolization. Foreign body reaction to absorbable gelatin sponge seemed to be stronger than that to the microcoil.