Stent-graft and double-guiding catheter technique to rescue iatrogenic coronary perforation

Coronary artery perforation (CAP) is an infrequent, yet life-threatening complication of percutaneous coronary interventions, posing a major risk of cardiac tamponade and mortality. We report on effective management of Ellis type III CAP with use of double-guiding catheter technique and stent-graft...

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Bibliographic Details
Published in:Archives of medical science 2021-01, Vol.17 (6), p.1800-1803
Main Authors: Ostrowska, Ewa, Gąsecka, Aleksandra, Mazurek, Tomasz, Kochman, Janusz
Format: Article
Language:English
Subjects:
coronary perforation
double-guiding catheter technique
Research Letter
stent-graft
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Summary:Coronary artery perforation (CAP) is an infrequent, yet life-threatening complication of percutaneous coronary interventions, posing a major risk of cardiac tamponade and mortality. We report on effective management of Ellis type III CAP with use of double-guiding catheter technique and stent-graft implantation. Prolonged balloon inflation via the first guiding catheter allows for temporary closure of the bleeding site. At the same time, stent-graft is inserted via the second guiding catheter to seal the perforation. After rapid deflation of the balloon, the stent is immediately advanced and expanded. The procedure minimises the time between deflation of the balloon and implantation of the stent-graft, allowing for successful bleeding cessation.
ISSN:1734-1922
1896-9151
DOI:10.5114/aoms/143151