Use of "super-glue" to seal a perforation during chronic total occlusion coronary intervention and the potential to "unglue" it.
Rahil RafeedheenShiv K AgarwalJames C MeekBarry F UretskyPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Coronary perforation remains a dreaded complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We present a case of successful CTO recanalization complicated by a perforation treated by n-butyl-cyanoacrylate (medical "super-glue"). We also present an in vitro experiment showing that a glue plug in a plastic tube can acutely be passed by a low tip load guide wire and undergo balloon angioplasty recreating a lumen. These results suggest that n-butyl-cyanoacrylate glue may be an alternative for treating perforation during CTO PCI with the possibility of recanalizing the vessel through the glue plug at a later time.
Keyphrases
- coronary artery disease
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- st elevation myocardial infarction
- antiplatelet therapy
- coronary artery
- coronary artery bypass grafting
- randomized controlled trial
- healthcare
- atrial fibrillation
- heart failure
- middle cerebral artery
- aortic stenosis
- risk assessment
- climate change
- left ventricular
- ejection fraction
- transcatheter aortic valve replacement