Coronary artery perforation grade III following PCI and unusual stent graft delivery system

Miodrag J Sreckovic; Nikola Jagić; Vladimir Miloradović; Mladen Tasić; Dušan Nikolić

doi:10.5937/sjecr15-5596

Miodrag J Sreckovic Clinical centre Kragujevac
Nikola Jagić Clinical Centre Kragujevac, Cardiology Clinic, Interventional Cardiology department
Vladimir Miloradović Clinical Center Kragujevac, Cardiology Clinic, Interventional Cardiology department
Mladen Tasić Clinical Center Kragujevac, Cardiology Clinic, Interventional Cardiology department
Dušan Nikolić Clinical Center Kragujevac, Cardiology Clinic, Interventional Cardiology department

DOI: https://doi.org/10.5937/sjecr15-5596

Keywords: Angioplasty, ptfe stent, coronary artery perforation, Pericardiocentesis, Cardiac Tamponade, Coronary Disease, Intraoperative Complications,

Abstract

Coronary perforations are rare but viscious complications of PCI procedures. Ellis type III coronary artery perforation represents most severe form and demand urgent solution . It is often necessary to perform pericardiocentesis and multiple interventional techniques to seal the perforation. Polytetrafluoroethylene (PTFE)-covered stent implantation became one of the most often used percutaneous solutions, but disadvantages are high profile and low flexibility of device. In our case, we tried to improve deliverability of PTFE stent graft alone by mounting it on a bare metal stent as a stent graft carrier.