Foreign body granulomatous change from absorbable gelatin sponge and microcoil embolization after a guidewire-induced perforation in the distal coronary artery

Hiroaki Kawano; Shuji Arakawa; Osami Satoh; Yuji Matsumoto; Motonobu Hayano; Shinichi Miyabara

doi:10.2169/internalmedicine.49.3750

Foreign body granulomatous change from absorbable gelatin sponge and microcoil embolization after a guidewire-induced perforation in the distal coronary artery

Intern Med. 2010;49(17):1871-4. doi: 10.2169/internalmedicine.49.3750. Epub 2010 Sep 1.

Authors

Hiroaki Kawano¹, Shuji Arakawa, Osami Satoh, Yuji Matsumoto, Motonobu Hayano, Shinichi Miyabara

Affiliation

¹ Department of Cardiology, Nagasaki Rosai Hospital, Japan. hirokawa@na-robyo.jp

PMID: 20823648
DOI: 10.2169/internalmedicine.49.3750

Abstract

We report an autopsy case of treatment by absorbable gelatin sponge and microcoil embolization after perforation of the distal coronary artery by guidewire. Histological examination revealed a foreign body granuloma in the coronary artery with embolization. Foreign body reaction to absorbable gelatin sponge seemed to be stronger than that to the microcoil.

Publication types

Case Reports
Comparative Study

MeSH terms

Aged, 80 and over
Angioplasty, Balloon, Coronary / adverse effects
Anticoagulants / therapeutic use
Autopsy
Coronary Vessels / injuries*
Coronary Vessels / pathology
Embolization, Therapeutic / adverse effects*
Embolization, Therapeutic / instrumentation
Gelatin Sponge, Absorbable / adverse effects*
Granuloma, Foreign-Body / etiology*
Granuloma, Foreign-Body / pathology
Heart Failure / etiology
Hemostatic Techniques
Humans
Male
Stents
Wounds, Penetrating / etiology
Wounds, Penetrating / therapy*

Substances

Anticoagulants