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Canadian Journal of Cardiology

Management of Septal Branch Perforation and Septal Hematoma During Retrograde Treatment of Coronary Chronic Total Occlusion Using Fat Embolization

Published:December 17, 2019DOI:https://doi.org/10.1016/j.cjca.2019.12.012

      Abstract

      Septal vessel perforation followed by septal hematoma is a rare complication of retrograde approach for treatment of coronary chronic total occlusions, possibly leading to septal rupture. We report 2 cases of patients with septal vessel perforation and subsequent hematoma successfully treated with autologous fat embolization. Such technique is inexpensive, omnipresent, and relatively easy to perform.

      Résumé

      L’hématome septal qui suit la perforation septale est une complication rare de l’approche par voie rétrograde dans le traitement des occlusions totales chroniques d’une artère coronaire qui peut mener à la rupture septale. Nous rapportons deux cas de patients ayant subi une perforation septale et un hématome subséquent qui ont été traités efficacement par embolisation par graisse autologue. Cette technique est peu coûteuse, omniprésente et relativement facile à réaliser.
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