DOI: 10.12890/2025_005592

Treatment of vascular perforation bleeding complications post-coronary intervention using coils

Authors

  • Nguyen Cong Ha Hanoi Heart Hospital, Hanoi, Vietnam
  • Nguyen Dinh Phuc Hanoi Heart Hospital, Hanoi, Vietnam
  • Hoang Van Hanoi Heart Hospital, Hanoi, Vietnam
  • Nguyen Sinh Hien Hanoi Heart Hospital, Hanoi, Vietnam

congha.hanoiheart@gmail.com

Keywords

Coils, coronary artery perforation, bleeding after percutaneous coronary intervention

Abstract

Background: Perforation of artery causing bleeding is a rare but serious complication of percutaneous coronary intervention (PCI), with potentially life-threatening consequences. Prompt recognition and management are crucial, particularly in high-risk patients or complex procedures. Coils are essential tools for sealing perforated or ruptured vessels, preventing further haemorrhage and stabilising the patient.
Case description: This report highlights three cases of perforated artery managed with coil embolization. The first case involved perforation of a small branch of the internal mammary artery, the second a ruptured aneurysm in the superior mesenteric artery and the third a distal branch perforation of the diagonal artery. All patients presented with significant haemorrhage, requiring urgent intervention. Coil embolization was successfully performed in all cases, achieving haemostasis and preventing further complications.
Conclusion: Coil embolization is a lifesaving technique for managing perforated artery or ruptured aneurysm, emphasising the importance of timely diagnosis, technical expertise and the availability of advanced interventional tools.

View the entire article

Downloads

References

  1. Xu T, Jin Y, Tang T, Tong Y, Liu C, Qiao T, et al. Accurate Embolization for Endoleak after F-TEVAR of Thoracic Aortic Dissection by Detachable Coils. Vascular 2024;32:1378-1384. doi: 10.1177/17085381231154354
  2. Abdalwahab A, Farag M, Brilakis ES, Galassi AR, Egred M. Management of Coronary Artery Perforation. Cardiovasc Revasc Med 2021;26:55-60. doi: 10.1016/j.carrev.2020.11.013
  3. Varghese J, Estes BA, Augustine A, Menon S, Varghese T, Yoder G. Coil Embolization as a Life-Saving Treatment for Pulmonary Artery Perforation Secondary to Large-Bore Catheterization. JACC Case Rep 2023;21:101964. doi: 10.1016/j.jaccas.2023.101964
  4. Philopatir M, Nicklas H, Mohammad M, Prajith J, Christian S, Adam B, et al. Coronary perforation incidence, outcomes and temporal trends (COPIT): a systematic review and meta-analysis. Open Heart 2022;9:e002076. doi: 10.1136/openhrt-2022-002076
  5. Azzalini L, Poletti E, Ayoub M, Ojeda S, Zivelonghi C, La Manna A, et al. Coronary artery perforation during chronic total occlusion percutaneous coronary intervention: epidemiology, mechanisms, management, and outcomes. EuroIntervention 2019;15:e804-e11. doi: 10.4244/eij-d-19-00282
  6. Wea Jeffry DDD, Rampengan SH, Pangemanan JA. C58. Management of Ellis Type V RV Branch Coronary Perforation Using Handmade Covered-stent: a case report. European Heart Journal Supplements 2021;23. doi: 10.1093/eurheartjsupp/suab124.057

Published

2025-08-19

Issue

Vol. 12 No. 9 (2025)

Categories

How to Cite

1.
Ha NC, Phuc ND, Van H, Hien NS. Treatment of vascular perforation bleeding complications post-coronary intervention using coils. EJCRIM [Internet]. 2025 Aug. 19 [cited 2026 Nov. 3];12(9). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5592