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Stent-graft and Double-guiding Catheter Technique to Rescue Iatrogenic Coronary Perforation by Ewa Ostrowska; Aleksandra Gąsecka; Tomasz Mazurek; Janusz Kochman is a Medicine article available to read on EtoBox.

What is Stent-graft and Double-guiding Catheter Technique to Rescue Iatrogenic Coronary Perforation about?

## Introduction Coronary artery perforation (CAP) is an infrequent, yet life-threatening complication of percutaneous coronary interventions, posing a major risk of cardiac tamponade and mortality. ## Methods We report on effective management of Ellis type III CAP with use of double-guiding catheter technique and stent-graft implantation. ## Results Prolonged balloon inflation via the first guiding catheter allows for temporary closure of the bleeding site. At the same time, stent-graft is inserted via the second guiding catheter to seal the perforation. After rapid deflation of the balloon, the stent is immediately advanced and expanded. ## Conclusions The procedure minimises the time between deflation of the balloon and implantation of the stent-graft, allowing for successful bleeding cessation.

Who reads Stent-graft and Double-guiding Catheter Technique to Rescue Iatrogenic Coronary Perforation?

Author

Ewa Ostrowska; Aleksandra Gąsecka; Tomasz Mazurek; Janusz Kochman

Publisher

Termedia Sp. z.o.o.

Published

2021

Language

EN

Field

Medicine (Health Sciences)