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Case Reports
. 2021 Feb 11:2021:6688338.
doi: 10.1155/2021/6688338. eCollection 2021.

Novel Product for the Management of Coronary Ruptures Happening during Percutaneous Coronary Interventions

Arash Hashemi  1 , Ashkan Hashemi  2 , Arsis Ahmadieh  1 , Azin Alizadehasl  3 , Mohammad Mostafa Ansari Ramandi  4   5
Affiliations
Case Reports

Novel Product for the Management of Coronary Ruptures Happening during Percutaneous Coronary Interventions

Arash Hashemi et al. Case Rep Cardiol. .

Abstract

Coronary artery perforation during percutaneous coronary interventions is a rare but dreaded complication. One of the treatment methods for this complication is the injection of an obliterating material into the ruptured vessel. We will introduce a novel material named "Spongostan" for embolization with significant advantages over available treatment options.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Anterior-posterior (AP) cranial projection showing the stenosis in LAD-diagonal bifurcation. (b) Left anterior oblique (LAO) cranial projection showing the stenosis in LAD-diagonal bifurcation. (c) Right anterior oblique projection showing stenosis in RCA.
Figure 2
Figure 2
(a) Stenting in LAD and POT. (b) Rewiring in diagonal after its total occlusion. (c) Diagonal rupture.
Figure 3
Figure 3
(a) Pigtail insertion. (b) Repeated wiring of the diagonal and prolonged balloon inflation.
Figure 4
Figure 4
(a) Spongostan package. (b) Spongostan sponge. (c) Stirring and soaking one-fifth of the sponge in contrast media. (d) Dissolving the sponge using two syringes. (e) Dissolved Spongostan in the contrast. (f) Injection through microcatheter tip.
Figure 5
Figure 5
(a) AP cranial projection showing complete restoration of flow in the ruptured diagonal artery and no residual leakage after 48 hours. (b) LAO caudal projection showing complete restoration of flow in the ruptured diagonal artery and no residual leakage after 48 hours.
See this image and copyright information in PMC

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