TCTAP C-120 Management of a Type 3 Perforation of Ostial LAD When Surgery or Graft Stenting Is Not Available

Clinical Information Patient Initials or Identifier Number YKRelevant Clinical History and Physical Exam A 77-year-old male patient had coronary angiography 10 years ago. If it happens in an extraordinary condition that surgery or graft stenting is not an option, the perforation may be sealed after prolong periods of balloon dilation to prevent tamponade and gain time for surgery or graft stent. During the prolonged balloon inflation, thrombus formation may become a problem, although it is also therapeutic, especially if you gave i.v. Protamine.