title: Coronary artery perforation: don't rush, IVUS may be useful.
abstract: Coronary artery perforation (CAP) is a rare but potentially fatal complication of percutaneous coronary intervention. Polytetrafluoroethylene-covered stents prevent blood leakage between struts with a high rate of success. However, they lack elasticity and rapid and correct deployment is difficult. They have also a higher rate of stent restenosis and thrombosis. For these reasons, optimal deployment is essential. Although severe CAP needs an emergent solution, after stabilizing the patient, intracoronary imaging techniques may be useful to ensure correct expansion and reduce further adverse events. We present a case that shows the potential role of intravascular ultrasound in the resolution of a CAP.
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain. Electronic address: alfonsojuradoroman@gmail.com.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Jurado-Román
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
authors.forename: Julio
authors.initials: J
authors.lastname: García-Tejada
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
authors.forename: Felipe
authors.initials: F
authors.lastname: Hernández-Hernández
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
authors.forename: Carolina
authors.initials: C
authors.lastname: Granda-Nistal
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Velázquez-Martín
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
authors.forename: Agustín Albarrán
authors.initials: AA
authors.lastname: González-Trevilla
authors.affiliation: Interventional Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Tascón-Pérez
mesh_terms: D000368:Aged; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000293:injuries*; D006801:Humans; D008297:Male; D018084:Ultrasonography, Interventional
keywords: Coronary artery perforation; Covered stents; Intravascular ultrasound; Perfuração da artéria coronária; Stents revestidos; Ultrassonografia intravenosa