Teflon felt wrapping repair for coronary perforation after failed angioplasty.
Acute type III perforation caused by failed angioplasty is a lethal complication that often requires emergency operation. However, the presence of multiple rigid stents beneath the subepicardial hematoma disturbs optimal revascularization and hemostasis. Teflon felt (Meadox Medical Inc, Oakland, NJ) wrapping repair is a simple salvage technique that allows stable hemostasis and the rescue of the entire blood flow of the coronary artery. This procedure was successfully performed with type III perforation of the left anterior descending coronary artery on 2 patients subjected to multiple stenting.
Inoue
Yoshito
Y
Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Tochigi, Japan. yosito_inoue@saimiya.com
Ueda
Toshihiko
T
Taguchi
Shinichi
S
Kashima
Ichiro
I
Koizumi
Kiyoshi
K
Noma
Shigetaka
S
D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001672:Biocompatible Materials; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000601:surgery; D003331:Coronary Vessels / Q000293:injuries*; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D015607:Stents / Q000009:adverse effects*
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene