Research Article

Coil Embolization for Coronary Artery Perforation: A Retrospective Analysis of 110 Patients

Table 2

Coronary angiographic and procedural characteristics.

110 patients

Left main complex, n (%)3 (2.7%)
Left anterior descending, n (%)29 (26.4%)
Left circumflex, n (%)30 (27.3%)
Right coronary artery, n (%)45 (40.9%)
Other vessels, n (%)5 (4.5%)
In-stent restenosis, n (%)9 (8.2%)
Type B2/C lesion, n (%)107 (97.3%)
Eccentric lesion, n (%)85 (77.3%)
Diffuse lesion, n (%)96 (87.3%)
Lesion angulation ≧ moderate, n (%)17 (15.5%)
Proximal tortuosity ≧ excessive, n (%)67 (8.7%)
Calcified lesion, n (%)54 (49.1%)
Thrombus laden, n (%)2 (1.8%)
Bifurcation, n (%)41 (37.3%)
Ostial lesion, n (%)6 (5.5%)
Chronic total occlusion, n (%)49 (44.5%)

Sheath size
 6-french, n (%)52 (47.3%)
 7-french, n (%)24 (21.8%)
 8-french, n (%)34 (30.9%)

Approach site
 Femoral, n (%)71 (64.5%)
 Radial, n (%)38 (34.5%)
 Brachial, n (%)1 (0.9%)
 Imaging device, n (%)24 (21.8%
 IVUS, n (%)104 (94.5%)
 OCT, n (%)1 (0.9%)
 Debulking device, n (%)4 (0.5%)
 Directional coronary atherectomy, n (%)0 (0%)
 Rotational atherectomy, n (%)24 (21.8%)
 Excimer laser coronary atherectomy, n (%)0 (0%)

Perforation classification
 Type I, n (%)5 (4.5%)
 Type II, n (%)28 (25.5%)
 Type III, n (%)12 (10.9%)
 Type IV, n (%)2 (1.8%)
 Type V, n (%)63 (57.3%)

Perforation site
 Main vessel distal, n (%)43 (39.1%)
 Main vessel middle, n (%)11 (10.0%)
 Branch vessel distal, n (%)23 (20.9%)
 Branch vessel middle, n (%)5 (4.5%)
 Septal collateral channel, n (%)8 (7.3%)
 Nonseptal collateral channel, n (%)20 (18.2%)

Cause of perforation
 Guidewire, n (%)97 (88.2%)
 Balloon, n (%)1 (0.9%)
 IVUS, n (%)0 (0%)
 Stent, n (%)0 (0%)
 Microcatheter, n (%)4 (3.6%)
 Directional coronary atherectomy, n (%)0 (0%)
 Rotational atherectomy, n (%)7 (6.4%)
 Excimer laser coronary atherectomy, n (%)0 (0%)
 Reference diameter of perforated vessel (mm)0.91 ± 0.34
 Covered stent, n (%)3 (2.7%)
 Protamine sulfate, n (%)61 (55.5%)
 Cardiac tamponade, n (%)7 (6.4%)
 Pericardiocentesis, n (%)7 (6.4%)
 Surgical repair, n (%)0 (0%)
 Intra-aortic balloon pumping, n (%)1 (0.9%)
 Extracorporeal membrane oxygenation, n (%)1 (0.9%)
 Impella, n (%)0 (0%)
 The number of microcoils, n4.52 ± 4.13
 Coiling success, n (%)108 (98.2%)

Values are expressed as numbers (%) or means (±SD). Type B2/C, according to the American College of Cardiology/American Heart Association classification system; IVUS, intravascular ultrasound; OCT, optical coherent tomography.