Coronary perforations are often classified according to severity using the Ellis classification: type 1 (crater extending outside lumen only), type 2 (pericardial or myocardial blush with <1 mm exit hole), type 3 (contrast jet through >1 mm exit hole) and type 3a (perforation into anatomic cavity – cavity spilling)
If fat fails to seal a perforation and no coils are available, the distal radiopaque portion of standard 0.014 inch guidewires can be cut and embolized distally instead of a coil
Coronary perforations are often classified according to severity using the Ellis classification: type 1 (crater extending outside lumen only), type 2 (pericardial or myocardial blush with <1 mm exit hole), type 3 (contrast jet through >1 mm exit hole) and type 3a (perforation into anatomic cavity – cavity spilling)
ReplyDeleteIf fat fails to seal a perforation and no coils are available, the distal radiopaque portion of standard 0.014 inch guidewires can be cut and embolized distally instead of a coil
ReplyDelete