Related Experiment Video

Updated: Jun 4, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
04:30

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Published on: May 14, 2013

Coronary perforation due to sirolimus-eluting stent's strut rupture with post-dilatation

Ahmet Karabulut1, Kadir Topçu

  • 1Department of Cardiology, Istanbul Medicine Hospital, Istanbul, Turkey. drkarabulut@yahoo.com

Kardiologia Polska
|February 19, 2011
PubMed

Insights

Coronary artery perforation, a rare percutaneous coronary intervention complication, can be life-threatening. This case highlights stent strut rupture as a cause, successfully treated with bare metal stents.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Research
  • Medical Device Complications

Background:

  • Coronary artery perforation is a rare but serious complication during percutaneous coronary intervention (PCI).
  • Causes include guidewire manipulation (nearly 50% of cases) and, less commonly, stent deployment issues.
  • Outcomes range from minor pericardial effusion to hemodynamic collapse, necessitating prompt intervention.

Observation:

  • A case of coronary artery perforation resulting from the rupture of a sirolimus-eluting stent strut is presented.
  • This specific mechanism, while less frequent, carries a more severe prognosis compared to guidewire-induced perforations.
  • The patient experienced a perforation directly linked to the stent's structural integrity failure.

Findings:

  • Immediate occlusion of the perforated site was achieved.
  • The treatment involved the successful implantation of two consecutive bare metal stents.
  • This approach effectively managed the acute coronary artery perforation.

Implications:

  • Stent strut rupture is a critical consideration in PCI complications, demanding vigilant monitoring.
  • Bare metal stents can serve as an effective bailout strategy for managing complex perforations.
  • Further research into stent design and deployment techniques may mitigate risks associated with stent-related perforations.

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...