Successful sealing of an angioplasty-related saphenous vein graft rupture with a PTFE-covered stent.
A patient developed severe hemodynamic compromise after saphenous vein graft rupture during high-pressure coronary stent deployment. Immediate balloon inflation followed by implantation of a polytetrafluoroethylene-covered stent solved the problem. The next day, follow-up angiography confirmed persistent sealing of the rupture site. Clinical and angiographic features of vessel rupture during coronary angioplasty as well as several therapeutic options for this complication are discussed.
Hernandez-Antolin
R A
RA
Servicio de Cardiologia Intervencionista, Hospital Universitario San Carlos, C/Martin Lagos s/n, Madrid, 28040, Spain.
Banuelos
C
C
Alfonso
F
F
Escaned
J
J
Fernandez-Ortiz
A
A
Sabaté
M
M
Amador
E
E
Macaya
C
C
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D012421:Rupture; D012501:Saphenous Vein / Q000293:injuries* / Q000637:transplantation*; D015607:Stents
D011138:Polytetrafluoroethylene