Document Detail

Repair of coronary artery perforation following angioplasty using TachoSil patches.
MedLine Citation:
PMID:  19933239     Owner:  NLM     Status:  MEDLINE    
Coronary perforation is a rare complication of percutaneous interventional procedures, occurring in 0.2-3% of procedures, which may require emergency coronary bypass surgery. We describe here an alternative method to deal with such complication, which proved effective in a patient with active bleeding from the left anterior descending (LAD) coronary artery. By temporary pressing on beating heart patches of TachoSil, a sponge impregnated with human fibrinogen and thrombin, on the bleeding site, complete and stable hemostasis was achieved.
Michele Celiento; Giovanni Scioti; Stefano Pratali; Uberto Bortolotti
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-19
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-03-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  328-30     Citation Subset:  IM    
Section of Cardiac Surgery, Cardiac Thoracic and Vascular Department, University of Pisa Medical School, 56124 Pisa, Italy.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Coronary Angiography
Coronary Vessels / injuries,  surgery*
Drug Combinations
Fibrinogen / therapeutic use*
Hemorrhage / etiology,  radiography,  surgery*
Hemostatic Techniques*
Hemostatics / therapeutic use*
Pericardial Effusion / etiology,  radiography,  surgery*
Thrombin / therapeutic use*
Treatment Outcome
Wounds, Penetrating / etiology,  radiography,  surgery*
Reg. No./Substance:
0/Drug Combinations; 0/Hemostatics; 0/TachoSil; 9001-32-5/Fibrinogen; EC

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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