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[Repair of saphenous vein perforation with covered stent during angioplastic]
M Ruiz-Nodar J1, V Mainar, P Bordes
1Sección de Hemodinámica. Hospital General de Alicante.*Servicio de Cardiología. Hospital de Elche. ruiz_jmi@gva.es
Insights
Coronary artery rupture during angioplasty is rare but serious. Covered stent placement offers a new percutaneous solution for sealing these perforations, potentially improving outcomes.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Coronary artery perforation is a rare but serious complication of angioplasty.
- It can lead to severe outcomes like cardiac tamponade and myocardial infarction, often necessitating emergency surgery.
Observation:
- This case report details a patient experiencing saphenous vein graft rupture after high-pressure stent implantation.
- The rupture was successfully managed using a percutaneous approach.
Findings:
- Percutaneous placement of a covered stent effectively sealed the saphenous vein graft rupture.
- This minimally invasive technique avoided the need for emergency cardiac surgery.
Implications:
- Covered stent placement presents a viable alternative to surgical repair for coronary artery perforations.
- This approach may reduce morbidity and mortality associated with this angioplasty complication.
Abstract:
Coronary perforation or rupture is an infrequent complication of angioplasty which may have a poor prognosis and influence patient survival. Cardiac tamponade or the presence of ischemia leading to acute myocardial infarction may require emergency cardiac surgery. Surgical treatment of perforation or rupture of the coronary arteries is based on prolonged inflation with angioplasty balloons or autoperfusion. There are few studies on the placement of covered stents to seal the perforation. We present the case of a patient who presented saphenous vein graft rupture following high pressure stent implantation requiring percutaneous placement of a covered stent.