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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

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Video 1. Initial angiographic view demonstrating an arteriole network arising from the proximally occluded left anterior descending artery.
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Video 2.  The coronary guidewire was entering in the proximal left anterior descending artery arterioles. Crossing the occlusion was challenging and time-consuming.
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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.
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Video 4. A leak due to distal arteriole perforation was still visible post-pericardiocentesis.
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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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