A case of coronary artery perforation with successful hemostasis using over-the-wire balloon and autologous blood perfusion

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• 作者：Ikki Komatsu (1) (2)
  Keisuke Hirano (1)
  Hideyuki Takimura (1)
  Motoharu Araki (1)
  Masahiro Yamawaki (1)
  Masatsugu Nakano (1)
  Hiroshi Ishimori (1)
  Yoshiaki Ito (1)
  Reiko Tsukahara (1)
  Toshiya Muramatsu (1)
  
• 关键词：Complications of interventional procedures ; Others (over ; the ; wire balloon) ; Others (novel technique)
• 刊名：Cardiovascular Intervention and Therapeutics
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：28
• 期：2
• 页码：197-201
• 全文大小：425KB
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• 作者单位：Ikki Komatsu (1) (2)
  Keisuke Hirano (1)
  Hideyuki Takimura (1)
  Motoharu Araki (1)
  Masahiro Yamawaki (1)
  Masatsugu Nakano (1)
  Hiroshi Ishimori (1)
  Yoshiaki Ito (1)
  Reiko Tsukahara (1)
  Toshiya Muramatsu (1)
  
  1. Department of Cardiovascular Disease, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
  2. Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, 3-6-1, Shimosueyoshi, Turumi-ku, Yokohama, Kanagawa, Japan
  

文摘

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.