A simpler approach to seal severe coronary perforation with bare metal stent.
The case of a coronary artery perforation in which overinflation of a balloon at an angulated segment of the left anterior descending (LAD) artery after stent deployment resulted in an Ellis type III coronary artery perforation is presented. A bare metal stent (BMS) was used successfully to seal this high-grade perforation. Here, it is demonstrated that it may not be illogical to consider BMS as the first choice before embarking on use of a covered stent if the clinical/haemodynamic condition of the patient allows it and if a covered stent is not available.
Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan. sajid.dhakam@aku.edu
Sajid
S
Dhakam
Nasir
N
Rahman
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents / Q000009:adverse effects*; D015912:Thrombolytic Therapy