title: Successful sealing of a coronary artery perforation with a mesh-covered stent.
abstract: Coronary artery perforation is a rare, but particularly feared and sometimes life-threatening, complication of percutaneous coronary interventions. The incidence of coronary perforation has increased with newer, more invasive interventional devices and techniques like rotablation, excimer laser coronary angioplasty, routine high-pressure balloon dilatation, or chronic total occlusion interventions. Here we describe a case of Ellis grade 2 perforation following a balloon dilatation performed in an in-stent restenotic total occlusion. The perforation was successfully sealed with a recently introduced device, a mesh covered stent (MGuard stent, Inspire MD). This new stent is much more flexible than the polytetrafluoroethylene-covered stent, which is often implanted in Ellis 2 or 3 grade perforations.
authors.affiliation: Állami Szívkórház, I. sz. Kardiológiai Osztály, 8230 Balatonfüred, Gyógy tér 2, Hungary. gyorgy.fogarassy@chello.hu
authors.forename: György
authors.initials: G
authors.lastname: Fogarassy
authors.forename: Dezső
authors.initials: D
authors.lastname: Apró
authors.forename: Gábor
authors.initials: G
authors.lastname: Veress
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods; D023903:Coronary Restenosis / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D000068338:Everolimus; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy; D011859:Radiography; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D020123:Sirolimus / Q000031:analogs & derivatives; D015607:Stents; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D000068338:Everolimus; D020123:Sirolimus