[Repair of saphenous vein perforation with covered stent during angioplastic]

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.