Extensive coronary dissection caused by balloon rupture at high pressure during stent deployment.
A patient with severe stenosis of the right coronary artery underwent successful stent placement. During high pressure postdilatation, the balloon ruptured, causing an extensive proximal dissection of the right coronary artery managed with the deployment of several additional stents. Strategies aimed at avoiding or minimizing the consequences of high pressure balloon rupture are discussed.
Esente
P
P
St. Joseph's Hospital Health Center Cardiovascular Laboratory, Syracuse, New York 13203, USA.
Giambartolemei
A
A
Reger
M J
MJ
Walford
G
G
Johnson
L W
LW
D002404:Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D004868:Equipment Failure; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011312:Pressure; D015607:Stents; D014950:Wounds, Penetrating / Q000209:etiology*