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Coils embolization use for coronary procedures: Basics, indications, and techniques

Lookup NU author(s): Shu Xian Loh, Dr Mohaned Egred

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© 2023 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.The use of coils is fundamental in interventional cardiology and can be lifesaving in selected settings. Coils are classified by their materials into bare metal, fiber coated, and hydrogel coated, or by the deliverability method into, pushable or detachable coils. Coils are delivered through microcatheters and the choice of coil size is important to ensure compatibility with the inner diameter of the delivery catheter, firstly to be able to deliver and secondly to prevent the coil from being stuck and damaged. Clinically, coils are used in either acute or in elective setting. The most important acute indication is typically the sealing coronary perforation. In the elective settings, coils can be used for the treatment of certain congenital cardiac abnormalities, aneurysms, fistulas or in the treatment of arterial side branch steal syndrome after CABG. Coils must always be delivered under fluoroscopy guidance. There are some associated complications with coils that can be acute or chronic, that nictitates regular followed-up. There is a need for education, training and regular workshops with hands-on to build the experience to use coils in situations that are infrequently encountered.


Publication metadata

Author(s): Loh SX, Brilakis E, Gasparini G, Agostoni P, Garbo R, Mashayekhi K, Alaswad K, Goktiken O, Avran A, Knaapen P, Nap A, Elguindi A, Tammam K, Yamane M, Stone GW, Egred M

Publication type: Review

Publication status: Published

Journal: Catheterization and Cardiovascular Interventions

Year: 2023

Volume: 102

Issue: 5

Pages: 900-911

Print publication date: 01/11/2023

Online publication date: 05/09/2023

Acceptance date: 14/08/2023

ISSN (print): 1522-1946

ISSN (electronic): 1522-726X

Publisher: John Wiley and Sons Inc

URL: https://doi.org/10.1002/ccd.30821

DOI: 10.1002/ccd.30821

PubMed id: 37668102

Data Access Statement: The data that support the findings of this study are openly available in PUBMED at https://pubmed.ncbi.nlm.nih.gov/.


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