Emergency Placement of Platinum Coils to Prevent Cardiac Tamponade After Wire Perforation of an Occluded Venous Coronary Bypass Graft |
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| Authors: | JOACHIM SCHOFER,M.D.,,THOMAS RAU,M.D.,,REAS LEPPIEN,M.D.,MICHAEL SCHLÜ TER,PH.D., DETLEF G. MATHEY,M.D. |
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| Affiliation: | From the Center for Cardiology Othmarschen, Germany;Department of Radiology and Neuroradiology, Allgemeines Krankenhaus Ahona, Hamburg, Germany |
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| Abstract: | A case is reported of a patient with impending cardiac tamponade due to vessel perforation following balloon angioplasty of an occluded venous bypass graft. Prolonged balloon inflation failed to seal the perforation. Leakage was controlled immediately by the delivery of two platinum coils into the perforation. In case of a vessel perforation during an attempt to recanalize an occluded coronary artery bypass, placement of intracoronary platinum coils to seal the perforation may prevent the development of cardiac tamponade. |
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