Successful recanalization of a left circumflex artery jailed with a polytetrafluoroethylene-covered stent after coronary perforation during stent implantation in the left main bifurcation

被引:2
|
作者
Taniguchi N. [1 ]
Takahashi A. [1 ]
Mizuguchi Y. [1 ]
Yamada T. [1 ]
Hata T. [1 ]
Nakajima S. [1 ]
机构
[1] Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, 654-0026, Hyogo
关键词
Coronary perforation; Covered stent; Fenestration;
D O I
10.1007/s12928-014-0254-8
中图分类号
学科分类号
摘要
An 88-year-old woman underwent emergency percutaneous coronary intervention (PCI) to treat circulatory collapse with severe stenosis in the distal left main coronary artery (LMCA). After 3.5/18-mm stent deployment from the LMCA to the left anterior descending artery (LAD), coronary perforation occurred in the LAD ostium. Therefore, we implanted a polytetrafluoroethylene (PTFE)-covered stent crossing over the left circumflex artery (LCX), and achieved successful hemostasis. Additional PCI was undertaken to recanalize the LCX. A Confienza 8–20 guidewire was able to penetrate the wall of the PTFE-covered stent, and coronary flow was successfully recovered after deployment of a 2.5/8-mm stent in the proximal LCX. © 2014, Japanese Association of Cardiovascular Intervention and Therapeutics.
引用
收藏
页码:78 / 81
页数:3
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