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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.