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Viabahn stent graft in the management of a grade 3 coronary perforation

Conrad von Stempel1, Hossam Fayed2, John Antony Goode2

  • 1Royal Free London NHS Foundation Trust, London, UK. conrad.vonstempel@nhs.net.

CVIR Endovascular
|February 7, 2020
PubMed

Insights

Peripheral arterial stent grafts can successfully treat coronary artery perforation when standard methods fail. This case highlights the value of interventional cardiology and radiology collaboration for complex coronary interventions.

Area of Science:

  • Cardiology
  • Interventional Radiology
  • Vascular Medicine

Background:

  • Coronary artery perforation during intervention presents significant risks.
  • Prompt and effective management is crucial to improve patient outcomes.

Purpose of the Study:

  • To describe a novel approach for managing refractory coronary artery perforation.
  • To emphasize the role of interdisciplinary collaboration in complex cardiovascular procedures.

Main Methods:

  • A case report of an 84-year-old female with acute coronary syndrome.
  • Successful deployment of a peripheral arterial stent graft (Viabahn) for coronary perforation after failed standard treatments.
  • Collaboration between interventional cardiologists and interventional radiologists.

Main Results:

  • The peripheral arterial stent graft effectively sealed the coronary artery perforation (endoleak).
  • The patient remained clinically well at 6-month follow-up.
  • Follow-up imaging confirmed stent patency.

Conclusions:

  • Peripheral arterial techniques and devices offer a viable solution for coronary perforations unresponsive to initial treatments.
  • Strong interventional cardiology and radiology partnerships are essential for managing emergent cardiovascular complications.
Abstract

Keywords:
Coronary artery perforationMulti disciplinary team workingStent graft

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