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Funny Coronary Arteriole Perforation Causes Tamponade Post-primary Percutaneous Coronary Intervention

Konstantinos C. Theodoropoulos, MD, MSc; Maria-Anna Bazmpani, MD, MSc; Antonios Kouparanis, MD; Antonios Ziakas, MD, PhD; George Kassimis, MD, PhD

02/09/2024
Video 1. Initial angiographic view demonstrating an arteriole network arising from the proximally occluded left anterior descending artery.
Video 2.  The coronary guidewire was entering in the proximal left anterior descending artery arterioles. Crossing the occlusion was challenging and time-consuming.
Video 3. The last cine-angiographic shots revealed a minor leak, distally, from one of the arterioles arising from the proximal left anterior descending artery.
Video 4. A leak due to distal arteriole perforation was still visible post-pericardiocentesis.
Video 5. The active leak is no longer visible after implantation of a covered stent in the proximal left anterior descending artery. Some contrast staining is still visible in the pericardial space.

 

Video Supplement to "Funny Coronary Arteriole Perforation Causes Tamponade Post-primary Percutaneous Coronary Intervention" (February 2024 Clinical Image).

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of the Journal of Invasive Cardiology or HMP Global, their employees, and affiliates. 


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