Key result
Delivery of a coronary stent graft via deep intubation of an 8 Fr guiding catheter over an inflated balloon shaft successfully sealed a coronary perforation following balloon rupture.
Case Report (n=1)
Deep intubation of an 8 Fr guiding catheter over an inflated balloon shaft can facilitate the delivery of a covered stent to seal a coronary perforation.
May offer bailout for balloon rupture perforation; leaves open need for prospective validation before wider use.
Coronary perforation is an uncommon complication of angioplasty and is a challenging situation to manage. We describe a case of complex multivessel coronary angioplasty complicated by coronary perforation following balloon rupture that was successfully managed with a coronary stent graft. Delivery of the stent graft to the site of vessel rupture required deep intubation of an 8 Fr guiding catheter over the shaft of an inflated balloon. In addition to the availability of covered stents, it is essential to be familiar with various skills necessary to deploy these stents. Cathet Cardiovasc Intervent 2001;54:59-62.
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Salwan et al. (2001) conducted a case report in Coronary perforation following balloon rupture during complex multivessel coronary angioplasty (n=1). Deep intubation of an 8 Fr guiding catheter over the shaft of an inflated balloon to deliver a coronary stent graft was evaluated on Successful management of coronary perforation. Delivery of a coronary stent graft via deep intubation of an 8 Fr guiding catheter over an inflated balloon shaft successfully sealed a coronary perforation following balloon rupture.
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