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Successful closure of coronary artery perforation using makeshift stent sandwich
Author(s) -
PienvichitMD Pavit,
Waters James
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.1269
Subject(s) - medicine , stent , perforation , thoracotomy , myocardial infarction , surgery , artery , cardiac catheterization , cardiology , radiology , materials science , punching , metallurgy
Abstract An elderly woman underwent stenting of mid left anterior descending coronary artery (LAD) 2 days after myocardial infarction. During high‐pressure stent dilatation, vessel perforation was noted. We assembled a “stent sandwich” in the cardiac catheterization laboratory and used it successfully to seal the perforation with good angiographic result. Although the long‐term patency remains an issue, this case demonstrates the feasibility of using makeshift covered‐stent as a bailout for arterial perforation in selected cases where emergency thoracotomy is undesirable. Cathet Cardiovasc Intervent 2001;54:209–213. © 2001 Wiley‐Liss, Inc.