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Polytetrafluoroethylene-covered stent implantation with double guiding catheter technique for the treatment of type III coronary perforation after stenting

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Chinese Medical Journal 2010年第19期123卷 2741-2743页

作者： NIE Shao-ping QIAO Yan WAN Da-guo JIAN Li-guo MA Chang-sheng Department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China Second Affiliated Hospital Zhengzhou University Zhengzhou 450003 China

coronary artery perforation is a life-threatening , complication during percutaneous coronary intervention （PCI） although it occurs rarely in contemporary era with incidence ranging from 0.1% to 0.8%. The overall mo... 详细信息

关键词： coronary perforation double guiding catheter polytetrafluoroethylene stenting

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Novel economic treatment for coronary wire perforation:A case report

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World Journal of Cardiology 2021年第6期13卷 177-182页

作者： Ahmed Abdalwahab Conor McQuillan Mohamed Farag Mohaned Egred Department of Cardiothoracic Freeman HospitalNewcastle upon Tyne NE77DNUnited Kingdom Freeman Hospital&Department of Cardiovascular Medicine Tanta UniversityTanta 31512Egypt Freeman Hospital&Department of Cardiology Royal Victoria HospitalBelfast BT126BANorthern IrelandUnited Kingdom Freeman Hospital&School of Life and Medical Sciences University of HertfordshireHertfordshire AL109EUUnited Kingdom Freeman Hospital&Translational and Clinical Research Institute Newcastle UniversityNewcastle upon Tyne NE77DNUnited Kingdom

BACKGROUND coronary artery perforation is a rare but potentially life-threatening complication of percutaneous coronary intervention(PCI),however if recognized and managed promptly,its adverse consequences can be *** factors include the use of advanced PCI technique(such as atherectomy and chronic total occlusion interventions)and treatment of severely calcified *** vessel perforation is usually treated with implantation of a covered stent,whereas distal and collateral vessel perforations are usually treated with embolization of coils,fat,thrombin,or *** describe a novel and cost-effective method of embolisation using a cut remnant of a used angioplasty balloon that was successful in sealing a distal wire *** advocate this method as a simple method of managing distal vessel *** SUMMARY A 73-year-old male with previous coronary Bypass graft operation and recurrent angina on minimal exertion had undergone rotablation and PCI to his dominant left *** the end of the procedure there was evidence of wire perforation at the distal branch and despite prolonged balloon tamponade there continued to be extravasation and the decision was made to seal this perforation.A cut piece of an angioplasty balloon was used and delivered on the original angioplasty wire to before the perforation area and released which resulted in sealing of the perforation with no unwanted clinical *** The use of a balloon remnant for embolization in coronary perforation presents a simple,efficient and cost-effective method for managing coronary perforations and may be an alternative for achieving hemostasis and preventing poor *** remains the most important part with meticulous attention to the distal wire position,particularly with hydrophilic wires.

关键词： Percutaneous coronary intervention coronary perforation coronary guide wire Collagen coronary angioplasty balloon Coil Case report

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