Key result
Bare stenting plus pericardiocentesis resolves PTCA-related coronary perforation and averts emergent surgery.
Why the study?
Coronary artery perforation complicating PTCA is rare but can be potentially fatal, and nonsurgical management strategies need to be described.
Case Report (n=1)
Demonstrates the feasibility of nonsurgical management of coronary artery perforation using a bare stent and pericardiocentesis.
May offer nonsurgical bailout in select perforations; hypothesis-generating case report requiring prospective validation.
Coronary artery perforation complicating percutaneous transluminal coronary angioplasty (PTCA) is rare but can be potentially fatal. We report a case of coronary artery dissection and perforation during PTCA that was successfully treated by implanting a bare stent with disappearance of angiographic contrast extravasation and performing one‐time pericardiocentesis for unexpected, delayed cardiac tamponade thereby avoiding the need for surgery. The possibility of coronary angiography not detecting a small residual leak from the perforation is also discussed. (J Interven Cardiol 2000; 13:45–50)
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Ramamurthy et al. (2000) conducted a case report in Coronary artery dissection and perforation during PTCA (n=1). Implantation of a bare stent and pericardiocentesis was evaluated on Successful treatment avoiding the need for surgery. Implantation of a bare stent and one-time pericardiocentesis successfully treated a case of coronary artery dissection and perforation during PTCA, avoiding the need for surgery.
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