Bailout polytetrafluoroethylene‐covered stent implantation for left main bifurcation perforation using the kissing stent technique | Zendy

Moriyama Noriaki | Zendy; Tanaka Yutaka | Zendy; Saito Shigeru | Zendy

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Bailout polytetrafluoroethylene‐covered stent implantation for left main bifurcation perforation using the kissing stent technique

Author(s) -

Moriyama Noriaki,

Tanaka Yutaka,

Saito Shigeru

Publication year - 2017

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.26898

Subject(s) - medicine , perforation , stent , polytetrafluoroethylene , percutaneous coronary intervention , surgery , balloon , artery , covered stent , complication , angioplasty , cardiology , radiology , myocardial infarction , materials science , punching , metallurgy

Coronary artery perforation during percutaneous coronary intervention is a rare, but potentially lethal complication. Immediate balloon expansion at the perforation site can halt the bleeding. Implantation of a coronary polytetrafluoroethylene (PTFE)‐covered stent enables the efficient endovascular repair of a coronary artery perforation. However, if the perforation occurs at a bifurcation, a PTFE‐covered stent may jail the side branch. We report a difficult case of blowout coronary perforation (Ellis type III) at a left main coronary artery bifurcation, which was successfully sealed with a PTFE‐covered stent without interference with the side branch coronary artery circulation. This new strategy might represent a useful salvage option for some patients with a coronary bifurcation perforation. © 2017 Wiley Periodicals, Inc.

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