Key result
Double guiding catheter technique successfully delivers graft stent to seal grade III coronary perforation.
Why the study?
Coronary vessel perforation is a feared complication of angioplasty, and delivering covered stents in tortuous or calcified vessels is challenging due to their design.
Does the double guiding catheter technique facilitate the delivery of a covered stent to seal a grade III coronary perforation?
Case Report (n=1)
Does the double guiding catheter technique facilitate the delivery of a covered stent to seal a grade III coronary perforation?
The double-guiding catheter technique is a useful emergency strategy to facilitate the delivery of covered stents in tortuous or calcified vessels complicated by coronary perforation.
Answers are grounded in this paper and cite their sources.
May aid bailout in select perforations; hypothesis-generating case report requiring prospective validation.
INTRODUCTION: Coronary vessel perforation is one of the most feared complications of coronary angioplasty. The treatment of this complication relies mostly on the implantation of covered stents. However, due to their design, covered stents are difficult to advance in a tortuous or calcified vessel. CASE PRESENTATION: We present a case of a grade III coronary perforation in which the double guiding catheter technique helped us to deliver the graft stent. CONCLUSIONS: The double-guiding technique is useful in emergency situations to increase the safety and efficacy of sealing a coronary perforation.
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Estévez‐Loureiro et al. (2015) conducted a case report in Grade III coronary perforation (n=1). Double guiding catheter technique was evaluated on Delivery of the graft stent to seal the coronary perforation. The double guiding catheter technique successfully facilitated the delivery of a graft stent to seal a grade III coronary perforation.
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