Key result
Covered stent seals Ellis type-III coronary perforation but precipitates subacute thrombosis and delayed pericardial hematoma.
Why the study?
Coronary perforation incidence has not declined despite technological advancements, possibly due to increased complexity of percutaneous coronary interventions, and covered stents carry unique short- and long-term risks.
Case Report (n=1)
No
Requires caution with covered stents for coronary perforation; leaves open optimal prevention strategies in prospective data.
Advancements in coronary stent technology encourage interventional Cardiologists in performing more complex, percutaneous interventions. Coronary perforation is a lethal complication of percutaneous coronary artery interventions and should be managed within seconds to minutes. Despite technological advancements, coronary perforation incidence has not declined over the years. This consistent incidence of coronary perforation may be related to increased number of complex, percutaneous coronary artery interventions. Covered stent implantation is a life-saving solution during the course of this emergent complication but also carries its own short and long term risks in the follow-up of these patients. Herein this report, we aimed to present a successful management of a case of coronary perforation by covered stent implantation but complicated during in-hospital period in the following days.
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Çoner et al. (2018) conducted a case report in Coronary perforation, covered stent thrombosis, and pericardial bleeding (n=1). Covered stent implantation was evaluated on Clinical complications (stent thrombosis and pericardial bleeding). Covered stent implantation for an Ellis type-III coronary perforation successfully sealed the leak but was complicated by subacute stent thrombosis and a subsequent delayed organized pericardial hematoma requiring surgical drainage.
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