Effect of transcatheter embolization by autologous fat particles in the treatment of coronary artery perforation during percutaneous coronary intervention

Chinese Medical Journal
Li-Yun HeWei Gao

Abstract

Coronary artery perforation (CAP) is a rare but severe complication of percutaneous coronary intervention (PCI). The aim of our study was to evaluate the effect and safety of transcatheter embolization by autologous fat particles in the treatment of CAP. Once the CAP was confirmed, a little autologous subcutaneous fatty tissue was obtained from the groin of the patient and then was made into 1 mm × 1 mm fat particles. The perforated vessel was embolized by fat particles via a micro-catheter. There were eight patients undergoing transcatheter embolization by autologous fat particles in the treatment of CAP during PCI in Peking University Third Hospital from February 2009 to June 2014, and the clinical data of these patients were collected and analyzed retrospectively. The lesion morphology of the patients was classified based on the American College of Cardiology/American Heart Association Task Force classification, there were one patient with Class B2 lesion and seven patients with Class C lesions (there were five patients with chronic total occlusion lesions). According to the Ellis classification of CAP, there were six patients with Class II perforations and two patients with Class III perforations. The causes of perforation ...Continue Reading

References

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Citations

Jul 29, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Aris KaratasakisEmmanouil S Brilakis
Jan 21, 2017·Current Treatment Options in Cardiovascular Medicine·Aris KaratasakisEmmanouil S Brilakis
Mar 18, 2017·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Michael DePersisWilliam Lombardi
Oct 20, 2018·Expert Review of Cardiovascular Therapy·Peter TajtiEmmanouil S Brilakis
May 11, 2021·Turkish Journal of Emergency Medicine·Yunus Emre ÖzlüerSadık Erdem Dizman
May 3, 2019·Heart, Lung & Circulation·Austin MayNicholas Collins

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SPSS

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