Successful treatment of coronary artery perforation during angioplasty using a new membrane-coated stent.
We report a case of successful treatment of coronary artery perforation and cardiac tamponade, which developed during percutaneous transluminal coronary angioplasty, with a PTFE-coated stent. Intravascular ultrasound was first used to overcome the shortcomings of conventional angiography and overlapping of a conventional stent was not as effective as coated-stent placement in sealing a further leakage. Thus, PTFE-coated stents may be an effective alternative to emergency surgery or autologous venous covered stenting and should be considered when coronary artery perforation occurs.
Casella
G
G
Department of Medicine, Division of Cardiology, Klinikum Innenstadt, Ludwig-Maximilians University, Munich, Germany. gcas@mbox.queen.it
Werner
F
F
Klauss
V
V
Mudra
H
H
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002305:Cardiac Tamponade / Q000209:etiology / Q000628:therapy*; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006801:Humans; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D012421:Rupture / Q000209:etiology / Q000628:therapy; D015607:Stents
D020099:Coated Materials, Biocompatible; D011138:Polytetrafluoroethylene