Coronary artery perforation successfully treated with a second drug-eluting stent

A coronary artery perforation is a rare, but potentially lethal, complication of percutaneous coronary intervention. We present a case of massive main vessel coronary perforation of the right coronary artery in a patient with acute ST segment elevation myocardial infarction, which was successfully t...

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Detalles Bibliográficos
Autores principales: Strycek, Matej, Jaworski, Lukas, Polasek, Rostislav, Tomasov, Pavol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10226310/
https://www.ncbi.nlm.nih.gov/pubmed/37235714
http://dx.doi.org/10.1177/03000605231174998
Descripción
Sumario:A coronary artery perforation is a rare, but potentially lethal, complication of percutaneous coronary intervention. We present a case of massive main vessel coronary perforation of the right coronary artery in a patient with acute ST segment elevation myocardial infarction, which was successfully treated with a second drug-eluting stent. This uncommon therapeutic approach was used to preserve flow to the large side branch. Early recognition, rapid balloon re-inflation at the perforation site and a “ping-pong” guiding technique allowed us to prepare the optimal strategy and to treat the perforation without developing cardiac tamponade.