Successful closure of coronary artery perforation using makeshift stent sandwich.
An elderly woman underwent stenting of mid left anterior descending coronary artery (LAD) 2 days after myocardial infarction. During high-pressure stent dilatation, vessel perforation was noted. We assembled a "stent sandwich" in the cardiac catheterization laboratory and used it successfully to seal the perforation with good angiographic result. Although the long-term patency remains an issue, this case demonstrates the feasibility of using makeshift covered-stent as a bailout for arterial perforation in selected cases where emergency thoracotomy is undesirable.
Pienvichit
P
P
Division of Cardiology, Department of Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts, USA. ppavit@pol.net
Waters
J
J
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation / Q000379:methods; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents