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A case of coronary artery perforation with successful hemostasis using over-the-wire balloon and autologous blood perfusion.
MedLine Citation:
PMID:  23247698     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Advances in coronary intervention have increased the opportunity to intervene on complex lesions, resulting in an increase in PCI-related complication, including coronary artery perforation. However, treatment options for coronary perforation are limited, with delivery of devices to complex lesions being problematic. Balloon hemostasis is the usual bailout method, despite the risk of myocardial ischemia. In this report, we describe an over-the-wire balloon method to treat a patient with coronary perforation. Ischemia was avoided by injecting autologous blood through the catheter, while hemostasis was achieved by prolonged balloon inflation. This new technique is applicable when a perfusion balloon is not indicated.
Authors:
Ikki Komatsu; Keisuke Hirano; Hideyuki Takimura; Motoharu Araki; Masahiro Yamawaki; Masatsugu Nakano; Hiroshi Ishimori; Yoshiaki Ito; Reiko Tsukahara; Toshiya Muramatsu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-18
Journal Detail:
Title:  Cardiovascular intervention and therapeutics     Volume:  -     ISSN:  1868-4297     ISO Abbreviation:  Cardiovasc Interv Ther     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101522043     Medline TA:  Cardiovasc Interv Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiovascular Disease, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan, ikki2002@msn.com.
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