CARDIOLOGY / RESEARCH LETTER
 
KEYWORDS
TOPICS
ABSTRACT
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.

Material and 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.

eISSN:1896-9151
ISSN:1734-1922