Successful embolization of iatrogenic ruptured coronary artery using Onyx: a new technique

Acute Card Care. 2014 Dec;16(4):123-6. doi: 10.3109/17482941.2014.944541. Epub 2014 Aug 11.

Abstract

Iatrogenic perforation of coronary artery is rare during percutaneous coronary intervention (PCI); however the complications are life-threatening. Patients in this clinical setting may be treated either by stent placement, closure of the perforation with fibrin glue or coils, or with emergency bypass surgery. Onyx, a new material that has been used successfully in cerebral arteries, represents a new and safe alternative. The advantage of Onyx is that it is easily injected through a microcatheter and it allows for a longer injection time having also the ability to reach difficult anatomical locations. We present the first case of successful embolization of a right coronary artery perforation during coronary angiography using Onyx.

Keywords: Coronary artery rupture; Onyx; embolization; percutaneous coronary intervention.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization
  • Coronary Vessels / injuries*
  • Drug Combinations
  • Embolization, Therapeutic / methods*
  • Humans
  • Iatrogenic Disease
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects*
  • Polyvinyls / administration & dosage*
  • Rupture / etiology
  • Rupture / therapy
  • Tantalum / administration & dosage*

Substances

  • Drug Combinations
  • Onyx 18
  • Polyvinyls
  • Tantalum