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Fatal Delayed Coronary Artery Perforation After Coronary Stent Implantation

  • Kim, Sang-Hoon (Department of Cardiology, CHA Bundang Medical Center, CHA University) ;
  • Moon, Jae-Youn (Department of Cardiology, CHA Bundang Medical Center, CHA University) ;
  • Sung, Jung-Hoon (Department of Cardiology, CHA Bundang Medical Center, CHA University) ;
  • Kim, In-Jai (Department of Cardiology, CHA Bundang Medical Center, CHA University) ;
  • Lim, Sang-Wook (Department of Cardiology, CHA Bundang Medical Center, CHA University) ;
  • Cha, Dong-Hun (Department of Cardiology, CHA Bundang Medical Center, CHA University) ;
  • Cho, Seung-Yun (Department of Cardiology, CHA Bundang Medical Center, CHA University)
  • Published : 2012.05.31

Abstract

Most type I and II perforations are predominately caused by hydrophilic and stiff wires, often presented in the delayed form, and do not require pericardial drainage or surgical interventions. However, we report a type III delayed coronary artery perforation at the site of stent implantation after intervention without any evidence of immediate perforations. To the best of our knowledge, this is the first case report of angiographic documentation and treatment of delayed coronary perforation at the site of stent, presented as a cardiac arrest.

Keywords

References

  1. Ellis SG, Ajluni S, Arnold AZ, et al. Increased coronary perforation in the new device era: incidence, classification, management, and outcome. Circulation 1994;90:2725-30. https://doi.org/10.1161/01.CIR.90.6.2725
  2. Gunning MG, Williams IL, Jewitt DE, Shah AM, Wainwright RJ, Thomas MR. Coronary artery perforation during percutaneous intervention: incidence and outcome. Heart 2002;88:495-8. https://doi.org/10.1136/heart.88.5.495
  3. Gruberg L, Pinnow E, Flood R, et al. Incidence, management, and outcome of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 2000;86:680-2. https://doi.org/10.1016/S0002-9149(00)01053-5
  4. Shimony A, Zahger D, Van Straten M, et al. Incidence, risk factors, management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 2009;104:1674-7. https://doi.org/10.1016/j.amjcard.2009.07.048
  5. Von Sohsten R, Kopistansky C, Cohen M, Kussmaul WG 3rd. Cardiac tamponade in the "new device" era: evaluation of 6999 consecutive percutaneous coronary interventions. Am Heart J 2000;140:279-83. https://doi.org/10.1067/mhj.2000.107996
  6. Fasseas P, Orford JL, Panetta CJ, et al. Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures. Am Heart J 2004;147:140-5. https://doi.org/10.1016/S0002-8703(03)00505-2
  7. Fukutomi T, Suzuki T, Popma JJ, et al. Early and late clinical outcomes following coronary perforation in patients undergoing percutaneous coronary intervention. Circ J 2002;66:349-56. https://doi.org/10.1253/circj.66.349
  8. Ramana RK, Arab D, Joyal D, et al. Coronary artery perforation during percutaneous coronary intervention: incidence and outcomes in the new interventional era. J Invasive Cardiol 2005;17:603-5.

Cited by

  1. Coronary Artery Perforation Complicated With Acute Aortic Valve Regurgitation During Percutaneous Coronary Intervention: Report of Two Cases vol.28, pp.4, 2012, https://doi.org/10.1016/s1001-9294(14)60015-8