Retrograde Access to Seal a Large Coronary Vessel Balloon Perforation Without Covered Stent Implantation

Anastasios Kartas; Efstratios Karagiannidis; Georgios Sofidis; Nikolaos Stalikas; Anastasios Barmpas; Georgios Sianos

doi:10.1016/j.jaccas.2021.02.013

Retrograde Access to Seal a Large Coronary Vessel Balloon Perforation Without Covered Stent Implantation

JACC Case Rep. 2021 Apr 21;3(4):542-545. doi: 10.1016/j.jaccas.2021.02.013. eCollection 2021 Apr.

Authors

Anastasios Kartas¹, Efstratios Karagiannidis¹, Georgios Sofidis¹, Nikolaos Stalikas¹, Anastasios Barmpas¹, Georgios Sianos¹

Affiliation

¹ First Department of Cardiology, American Hellenic Educational and Progressive Association University Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.

Abstract

The sealing of a large vessel coronary perforation during percutaneous coronary intervention typically requires the deployment of 1 or more covered stents. A novel approach to seal a life-threatening perforation caused by unnoticed wire-exit and balloon dilation, utilizing retrograde techniques, without a covered-stent is described. (Level of Difficulty: Advanced.).

Keywords: CS, covered stent; CTO, chronic total occlusion; DES, drug-eluting stent; LAD, left anterior descending coronary artery; MC, microcatheter; RCA, Right coronary artery; case report; chronic total occlusion; complication; drug-eluting stent; percutaneous coronary intervention; perforation; sealing.

Publication types

Case Reports