Coronary artery rupture during balloon angioplasty, rescued with localized thrombin injection and coil embolization

Distal intracoronary thrombin injection has been used successfully to seal very small, guidewire related, coronary artery perforations during percutaneous coronary intervention. This case report expands upon this therapeutic approach, by describing the use of high dose distal thrombin injection for the successful (non‐surgical) management of balloon‐induced coronary artery rupture, with an intrapericardial leak. © 2006 Wiley‐Liss, Inc.

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