Volume 91, Issue 2 pp. 308-309
Peripheral Vascular Disease

Perforations and how to manage: The coronary interventionalist and peripheral interventionalist working together for a solution

Richard R. Heuser MD

Corresponding Author

Richard R. Heuser MD

Chief of Cardiology, St. Luke's Medical Center, Quezon City, Philippines

Professor of Medicine, University of Arizona School of Medicine, Phoenix, Arizona

Correspondence Richard R. Heuser, Phoenix Heart Ctr, Cardiology, 555 N 18th Street, Suite 300, Phoenix, AZ. Email: [email protected]Search for more papers by this author
First published: 06 February 2018

Key Points

  • Perforations can occur in both peripheral and coronary interventional procedures potentially resulting in severe morbidity
  • A readily available therapeutic option to treat perforations should be present in every cath lab that does coronary and peripheral procedures
  • The use of a coagulated thrombus injection can be an effective treatment option, but if a major vessel is affected that must remain patent, one viable option is to administer the patients’ own clotted blood to recanalize the vessel without permanent sequelae

CONFLICT OF INTEREST

Nothing to report.

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