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- Title
A Percutaneous Coronary Intervention Complication: Coronary Perforation.
- Authors
Yıldız, Abdulmelik; Bağırtan, Bayram
- Abstract
Coronary perforation is the most feared and lethal complication in the catheterization laboratories. Perforation incidence is reported to be between 0,2 - 0,6%. Sixty nine year-old patient with a typical angina pectoris and having a positive effort test was admitted to the catheter laboratory for coronary angiography. In the coronary angiography, Biomime stent was deployed with nominal pressure to the mid segment of the left anterior descending (LAD) artery which was found to have a 80% stenosis. In order to obtain optimal expansion, postdilatation was performed with a powerline balloon. After postdilatation, Ellis grade III perforation was developed. Bleeding control was achieved with implantation of a 3,0x19 mm graft stent to the perforation site. In the echocardiography investigations, the patient did not exhibit any pericardial fluid and tamponade findings so the patient was discharged after 48 hours.
- Publication
Journal of Turgut Ozal Medical Center, 2013, Vol 20, Issue 4, p338
- ISSN
1300-1744
- Publication type
Academic Journal
- DOI
10.7247/jtomc.2013.946