Distal coronary artery perforation with a coronary guidewire is a relatively rare but potentially fatal complication during PTCA. Historically, these types of perforations have been easy to control with reversal of heparin anticoagulation combined with prolonged distal balloon inflation. In the mode
Endovascular treatment of a massive retroperitoneal bleeding: Successful balloon-catheter delivery of intra-arterial thrombin
โ Scribed by Jose A. Silva; John Stant; Stephen R. Ramee
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 142 KB
- Volume
- 64
- Category
- Article
- ISSN
- 1522-1946
No coin nor oath required. For personal study only.
โฆ Synopsis
Retroperitoneal bleeding is a potentially lethal complication of percutaneous intervention, when the common femoral artery is used as vascular access. Surgery, the traditional treatment for this complication in patients with persistent bleeding or hemodynamic instability, carries a considerable risk of morbidity and mortality. We report a case of life-threatening retroperitoneal bleeding successfully treated percutaneously with balloon occlusion and catheter delivery of thrombin to attain thrombosis of a lacerated branch of the common femoral artery. Endovascular catheter-based percutaneous treatment for massive retroperitoneal bleeding is often effective and should be pursued in selected patients.
๐ SIMILAR VOLUMES