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Successful Management of a Distal Left Main Perforation Using the Jailed-balloon Technique and Covered Stent
Kornél Kákonyi1, Ferenc Tamás Nagy1, Judit Andréka2
1Invasive Cardiology Department, Cardiological Centre, Internal Medicine Clinic, Faculty of Medicine, University of Szeged Szeged, Hungary.
Insights
Covered stents can block side branches during coronary perforation repair. A novel technique using fenestration and a jailed-balloon successfully treated a left main artery perforation while preserving side branch flow.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Covered stents are crucial for managing coronary artery perforations.
- Obstructing side branches, particularly the left circumflex artery, is a significant complication.
- Left main artery perforations pose a high risk of hemodynamic instability.
Abstract:
Covered stents are often used to manage coronary perforations, but they can inadvertently obstruct side branches. Perforations in the left main artery can lead to severe haemodynamic instability, especially if the side branch, the left circumflex artery, becomes completely occluded by the covered stent. The authors describe a successful case of sealing a distal left main perforation using fenestration of a covered stent in combination with a jailed-balloon technique to preserve blood flow to the left circumflex artery.
