Subcutaneous Fat Embolization for Management of Coronary Perforation During Retrograde CTO-PCI
Автор: PROF. DR. KORHAN SOYLU
Загружено: 2025-11-11
Просмотров: 127
Coronary perforation is a significant complication that can be encountered during complex coronary interventions, such as those involving Chronic Total Occlusions (CTO). The standard treatment method for perforation is often prolonged balloon inflations. However, in the event of a rupture in a small side branch, it is necessary to occlude this branch using an embolic agent.
The devices most frequently used for this purpose are coils, although alternatives such as a half-Cut Balloon, fat (adipose tissue), or thrombus can also be employed. The use of a small autologous fat tissue sample, embolized to the target site via a microcatheter, should be considered as a cost-effective option.
The presented case report describes an Ellis Type 3 perforation encountered during a retrograde Right Coronary Artery (RCA) CTO procedure, which was successfully treated with autologous fat embolization. Furthermore, the procedural technique is retrospectively simulated and detailed for didactic purposes.
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