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Interact Cardiovasc Thorac Surg · Feb 2010
Case ReportsRepair of coronary artery perforation following angioplasty using TachoSil patches.
- Michele Celiento, Giovanni Scioti, Stefano Pratali, and Uberto Bortolotti.
- Section of Cardiac Surgery, Cardiac Thoracic and Vascular Department, University of Pisa Medical School, 56124 Pisa, Italy.
- Interact Cardiovasc Thorac Surg. 2010 Feb 1;10(2):328-30.
AbstractCoronary perforation is a rare complication of percutaneous interventional procedures, occurring in 0.2-3% of procedures, which may require emergency coronary bypass surgery. We describe here an alternative method to deal with such complication, which proved effective in a patient with active bleeding from the left anterior descending (LAD) coronary artery. By temporary pressing on beating heart patches of TachoSil, a sponge impregnated with human fibrinogen and thrombin, on the bleeding site, complete and stable hemostasis was achieved.
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