Thrombin injection for sealing epicardial collateral perforation during chronic total occlusion percutaneous coronary interventions

J Invasive Cardiol. 2014 Sep;26(9):E124-6.

Abstract

Epicardial collateral perforation is a serious complication of retrograde chronic total occlusion percutaneous coronary intervention. We describe two cases of epicardial collateral perforation that were successfully sealed with local thrombin injection.

Publication types

  • Case Reports

MeSH terms

  • Collateral Circulation
  • Coronary Occlusion / therapy*
  • Coronary Vessels / injuries*
  • Female
  • Fibrin Tissue Adhesive / administration & dosage
  • Fibrin Tissue Adhesive / pharmacology
  • Fibrin Tissue Adhesive / therapeutic use
  • Hemostasis / drug effects
  • Hemostatics / administration & dosage
  • Hemostatics / pharmacology
  • Hemostatics / therapeutic use*
  • Humans
  • Injections, Intra-Arterial
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects*
  • Thrombin / administration & dosage
  • Thrombin / pharmacology
  • Thrombin / therapeutic use*
  • Treatment Outcome
  • Vascular System Injuries / therapy*

Substances

  • Fibrin Tissue Adhesive
  • Hemostatics
  • Thrombin