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Successful management of coronary artery rupture with stent-graft: a case report

Berkay Ekici1, Aycan Fahri Erkan1, Utku Kütük1

  • 1Department of Cardiology, Faculty of Medicine, Ufuk University, Mevlana Bulvarı (Konya Yolu) No. 86-88, Balgat, 06520 Ankara, Turkey.

Case Reports in Medicine
|August 16, 2014
PubMed

Insights

Coronary artery perforation during percutaneous coronary interventions is a rare but serious complication. This case demonstrates the successful endovascular repair of such a perforation using a coronary stent-graft.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Coronary artery perforation is a rare but life-threatening complication of percutaneous coronary interventions (PCI), occurring in about 0.5% of procedures.
  • Management strategies for coronary perforation vary based on severity, from conservative measures to emergency cardiac surgery.

Purpose of the Study:

  • To present a case of successful endovascular management of coronary artery perforation.
  • To highlight the utility of coronary stent-grafts in treating complex PCI complications.

Main Methods:

  • A case of coronary artery perforation during stent implantation in the left anterior descending artery is described.
  • The perforation was treated using a coronary stent-graft, a device combining metal stents with a polytetrafluoroethylene layer.

Main Results:

  • The coronary artery perforation was successfully repaired using the endovascular approach with a stent-graft.
  • This intervention effectively managed the complication, avoiding more invasive surgical procedures.

Conclusions:

  • Coronary stent-grafts offer an efficient endovascular solution for managing coronary artery perforations.
  • This case underscores the importance of advanced device availability for addressing PCI-related complications.

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