Cover to Make a Covered Stent: An Unusual Method of treating a Coronary Perforation

Sadaf Shabbir Kiani; Azhar Ali Chaudhry; Faheem Ul Hassan

doi:10.51253/pafmj.v73iSUPPL-3.10590

Authors

Sadaf Shabbir Kiani Department of Adult Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/ National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Azhar Ali Chaudhry Department of Adult Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/ National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Faheem Ul Hassan Department of Adult Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/ National University of Medical Sciences (NUMS) Rawalpindi, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-3.10590

Keywords:

Coronary perforation, Chronic Total Occlusion (CTO), Man-made stent

Abstract

Coronary artery perforation is an infrequent yet serious complication of Percutaneous Coronary Intervention (PCI).
Management includes conservative methods like prolonged balloon tamponade, emergency pericardiocentesis, in addition to implantation of covered stents, coil embolization of small vessels, as well as, Coronary Artery Bypass Graft (CABG) Surgery. Here we describe a unique case of coronary perforation management by using a man-made covered stent and an un-inflated semi-compliant balloon over a standard Drug Eluting Stent (DES).