Key result
The use of an intracoronary stent successfully controlled intrapericardial bleeding following coronary artery rupture during PTCA, avoiding cardiac surgery.
Why the study?
Does an intracoronary stent control intrapericardial bleeding in a patient with coronary artery rupture complicating PTCA?
Case Report (n=1)
Does an intracoronary stent control intrapericardial bleeding in a patient with coronary artery rupture complicating PTCA?
This case report demonstrates that an intracoronary stent can be used to successfully control intrapericardial bleeding following coronary artery rupture during PTCA, potentially avoiding the need for urgent cardiac surgery.
Answers are grounded in this paper and cite their sources.
Should not change practice for coronary rupture; single case leaves open need for confirmatory studies.
Coronary artery rupture is a rare complication of percutaneous transvenous coronary angioplasty (PTCA) usually requiring urgent cardiac surgery and often resulting in a poor outcome including death. We report, for the first time, the use of an intracoronary stent to control intrapericardial bleeding following the development of a coronary artery rupture during PTCA. Cardiac surgery was avoided and the patient was discharged well 1 week after the procedure.
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Thomas et al. (1993) conducted a case report in Coronary artery rupture complicating PTCA (n=1). Intracoronary stent was evaluated on Control of intrapericardial bleeding and avoidance of cardiac surgery. The use of an intracoronary stent successfully controlled intrapericardial bleeding following coronary artery rupture during PTCA, avoiding cardiac surgery.
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