Abstract
Coronary artery perforation during percutaneous coronary interventions is a rare but dreaded complication. One of the treatment methods for this complication is the injection of an obliterating material into the ruptured vessel. We will introduce a novel material named “Spongostan” for embolization with significant advantages over available treatment options.
Highlights
Coronary perforation is a potentially fatal complication of percutaneous coronary intervention (PCI) [1]
Coronary perforation is a potentially fatal complication of PCI [1]. It is a rare complication with more prevalence in females and patients with hypertension, previous coronary artery bypass grafting, and those admitted with non-ST-segment elevationmyocardial infarction (NSTEMI) [2]
It has a higher incidence during complex procedures like bifurcation stenting, very tortuous or heavily calcified vessels, use of atheroablation devices, or CTO procedures [1, 2]
Summary
Coronary perforation is a potentially fatal complication of PCI [1] It is a rare complication with more prevalence in females and patients with hypertension, previous coronary artery bypass grafting, and those admitted with NSTEMI [2]. It has a higher incidence during complex procedures like bifurcation stenting, very tortuous or heavily calcified vessels, use of atheroablation devices, or CTO procedures [1, 2]. The most common cause of these perforations is wire tip induced [3] This complication can be fatal and needs to be addressed properly. A very high index of suspicion, timely diagnosis, and often definitive treatment are required to minimize adverse outcomes from this complication [5, 6]
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