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Stent-graft and double-guiding catheter technique to rescue iatrogenic coronary perforation
Ewa Ostrowska1, Aleksandra Gąsecka1, Tomasz Mazurek1
11 Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Introduction:
Coronary artery perforation (CAP) is an infrequent, yet life-threatening complication of percutaneous coronary interventions, posing a major risk of cardiac tamponade and mortality.
Methods:
We report on effective management of Ellis type III CAP with use of double-guiding catheter technique and stent-graft implantation.
Results:
Prolonged balloon inflation via the first guiding catheter allows for temporary closure of the bleeding site. At the same time, stent-graft is inserted via the second guiding catheter to seal the perforation. After rapid deflation of the balloon, the stent is immediately advanced and expanded.
Conclusions:
The procedure minimises the time between deflation of the balloon and implantation of the stent-graft, allowing for successful bleeding cessation.
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