Coronary perforation with tamponade successfully managed by retrograde and antegrade coil embolization |
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Authors: | Marouane Boukhris Salvatore Davide Tomasello Salvatore Azzarelli Zied Ibn Elhadj Francesco Marzà Alfredo Ruggero Galassi |
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Institution: | aDepartment of Medical Sciences and Pediatrics, Catheterization Laboratory and Cardiovascular Interventional Unit, Division of Cardiology, Cannizzaro Hospital, 95021 Catania, Italy;bFaculty of Medicine of Tunis, University of Tunis El Manar, Tunisia |
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Abstract: | In recent years, retrograde approach for chronic total occlusions has rapidly evolved, enabling a higher rate of revascularization success. Compared to septal channels, epicardial collaterals tend to be more tortuous, more difficult to negotiate, and more prone to rupture. Coronary perforation is a rare but potentially life-threatening complication of coronary angioplasty, often leading to emergency cardiac surgery. We report a case of a retrograde chronic total occlusion revascularization through epicardial collaterals, complicated by both retrograde and antegrade coronary perforation with tamponade, and successfully managed by coil embolization. |
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Keywords: | Chronic total occlusion Percutaneous coronary intervention Coronary perforation Tamponade Coil embolization |
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