How should I treat guidewire-induced distal coronary perforation?

Nagendra Boopathy Senguttuvan; Sivasubramanian Ramakrishnan; Gurpreet Singh Gulati; Sandeep Seth; Balram Bhargava

doi:10.4244/EIJV8I1A23

How should I treat guidewire-induced distal coronary perforation?

Nagendra Boopathy Senguttuvan, Sivasubramanian Ramakrishnan, Gurpreet Singh Gulati, Sandeep Seth, Balram Bhargava

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

BACKGROUND: A 45-year-old hypertensive male had presented with recent onset New York Heart Association (NYHA) class II angina and dyspnoea on exertion of six-weeks duration. The exercise treadmill test was strongly positive with significant ischaemic changes occurring in stage 1 of Bruce protocol. A percutaneous coronary intervention (PCI) to occluded obtuse marginal (OM) branch was performed. Later he developed hypotension with pericardial effusion. INVESTIGATION: Physical examination, electrocardiography, 2D echocardiography, coronary angiogram. DIAGNOSIS: Distal coronary perforation. TREATMENT: Percutaneous transcoronary glue injection.

Original language	English
Pages (from-to)	155-156+162-163
Journal	EuroIntervention
Volume	8
Issue number	1
DOIs	https://doi.org/10.4244/EIJV8I1A23
State	Published - May 2012
Externally published	Yes

Keywords

Coronary perforation
Cyanoacrylate glue
Recurrent pericarditis

Access to Document

10.4244/EIJV8I1A23

Cite this

@article{16ab21a93c06445aba11d5384047c8b0,

title = "How should I treat guidewire-induced distal coronary perforation?",

abstract = "BACKGROUND: A 45-year-old hypertensive male had presented with recent onset New York Heart Association (NYHA) class II angina and dyspnoea on exertion of six-weeks duration. The exercise treadmill test was strongly positive with significant ischaemic changes occurring in stage 1 of Bruce protocol. A percutaneous coronary intervention (PCI) to occluded obtuse marginal (OM) branch was performed. Later he developed hypotension with pericardial effusion. INVESTIGATION: Physical examination, electrocardiography, 2D echocardiography, coronary angiogram. DIAGNOSIS: Distal coronary perforation. TREATMENT: Percutaneous transcoronary glue injection.",

keywords = "Coronary perforation, Cyanoacrylate glue, Recurrent pericarditis",

author = "Senguttuvan, \{Nagendra Boopathy\} and Sivasubramanian Ramakrishnan and Gulati, \{Gurpreet Singh\} and Sandeep Seth and Balram Bhargava",

year = "2012",

month = may,

doi = "10.4244/EIJV8I1A23",

language = "English",

volume = "8",

pages = "155--156+162--163",

journal = "EuroIntervention",

issn = "1774-024X",