Novel economic treatment for coronary wire perforation: A case report

Figure 1 The proximal left circumflex artery. A: Calcific proximal dominant left circumflex artery (LCX) lesion; B: Distal wire position when predilatation; C: Distal wire perforation in the LCX (orange arrow); D: Tip of the balloon cut for embolization; E: The cut balloon tip with the marker for X-Ray visibility (orange arrow) pushed by another intact balloon with two markers (blue arrows).

Figure 2 Schematic steps for sealing distal wire perforation using balloon remnant. A: Distal half of already used balloon is cut by scissors; B and C: The remnant piece is mounted on to the wire in the perforated vessel and pushed with another intact balloon to the distal vessel before the perforation; D and E: Withdrawal of the wire and the intact pushing balloon with the remnant part left distally as the embolization materials.