Key result
Covered stents are supported by case reports and small retrospective studies as a unique bail-out tool to treat coronary artery perforations complicating percutaneous coronary intervention.
Why the study?
Do covered stents effectively treat coronary perforations complicating percutaneous coronary intervention?
Do covered stents effectively treat coronary perforations complicating percutaneous coronary intervention?
Covered stents are a unique and necessary bail-out tool for managing coronary artery perforations during PCI, supported by observational data.
May support bail-out use in coronary perforations; leaves open need for prospective trials to guide practice.
Covered stents have shown discouraging results when tested on saphenous vein grafts and when attempting to prevent restenosis on native coronary arteries. However, covered stents seem to be a unique tool when a coronary artery perforation complicates percutaneous coronary intervention. Because a randomized clinical trial is not likely to be conducted in this bail-out scenario, the data supporting its use come from case reports and small-size retrospective studies. This review summarizes the available evidence supporting the use of covered stents to treat coronary perforations.
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Romaguera et al. (2011) conducted a review in Coronary artery perforation complicating percutaneous coronary intervention. Covered stents was evaluated. Covered stents are supported by case reports and small retrospective studies as a unique bail-out tool to treat coronary artery perforations complicating percutaneous coronary intervention.
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