Key result
Stent-mid-perforation coiling technique successfully seals refractory distal coronary perforation complicated by tamponade.
Case Report (n=1)
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The stent-mid-perforation coiling technique may be a viable bailout strategy for large distal coronary perforations unamenable to conventional methods.
Coronary artery perforations (CAP) presentations following percutaneous intervention (PCI) may vary depending on the size and location of the injured vessel. Distal coronary perforations (DCP) can rapidly progress, making treatment notoriously challenging. Endovascular coils have frequently been utilized for DCP. Unfortunately, anatomical restrictions, the size of perforation, or equipment deficiencies can complicate deployment. We present a case of large DCP complicated by acute cardiac tamponade that was unamenable to conventional methods. This was successfully treated with a drug-eluting stent (DES) through the perforation into the pericardium and the placement of endovascular coils within the stent, that is, the stent-mid-perforation (and coiling) technique.
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Haq et al. (2026) conducted a case report in Distal coronary perforation (n=1). Stent-mid-perforation coiling technique was evaluated. The stent-mid-perforation coiling technique successfully treated a large distal coronary perforation complicated by acute cardiac tamponade that was unamenable to conventional methods.
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