Use of stent grafts and coils in vessel rupture and perforation

Khung Keong Yeo1, Jason H Rogers, John R Laird

  • 1Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, California, USA.

Insights

Prompt management of vessel rupture during percutaneous interventions is critical. This review covers covered stents and embolization coils for treating these serious coronary and peripheral arterial complications.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Vessel rupture and perforation are significant complications during percutaneous coronary and peripheral arterial interventions.
  • These events can lead to abrupt vessel closure, organ damage, hemorrhage, and mortality.

Purpose of the Study:

  • To review the management strategies for vessel rupture and perforation.
  • To discuss the application of covered stents and embolization coils in interventional procedures.

Main Methods:

  • Review of literature on percutaneous interventions and vessel injury management.
  • Analysis of different types of covered stents (balloon-expandable, self-expanding) and embolization coils.
  • Focus on coronary artery and peripheral arterial interventions.

Main Results:

  • Covered stents and embolization coils are key tools for managing vessel perforations.
  • The choice of device depends on the specific characteristics of the vessel and the perforation.
  • Timely intervention is crucial to mitigate adverse outcomes.

Conclusions:

  • Effective management of vessel rupture and perforation is essential for patient safety in interventional cardiology and peripheral vascular procedures.
  • Covered stents and embolization coils offer viable percutaneous solutions.
  • Further research may refine optimal device selection and technique.