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Guidewire‐induced coronary artery perforation treated with transcatheter injection of polyvinyl alcohol form

We describe a first case of successful transcatheter management of guidewire‐induced distal coronary artery perforation and impending cardiac tamponade, which developed during percutaneous coronary angioplasty, with transcatheter injection of polyvinyl alcohol form. This method may be an effective alternative in the management of distal coronary artery perforation requiring surgical repair.