Journals / Erciyes Tıp Dergisi / 2013 / Cilt: 35 - Sayı: 3

Koroner arter perforasyonunun el yapımı greft kaplı stentle onarımı

Successful treatment of coronary artery perforation with hand-made covered stent

Pages
164–166
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The technique which we wereobliged to use in this case was successful in closure of the perforated segment and prevented progression to tamponade.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Coronary perforation is a rare complication of percutaneouscoronary intervention with an incidence of 0.2% to 0.6 %.According to the classification of Ellis et al., Type III is the mostlife threatening type of perforation which needs to be treatedwith emergency surgery or grafted stents.
📊
Key Findings & Data:In this report we describe a case of coronary perforation which occurred duringprimary PCI of the right coronary artery and was treated witha hand-made covered stent.
💡
Conclusion & Impact:The technique which we wereobliged to use in this case was successful in closure of the perforated segment and prevented progression to tamponade.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Coronary perforation is a rare complication of percutaneouscoronary intervention with an incidence of 0.2% to 0.6 %.According to the classification of Ellis et al., Type III is the mostlife threatening type of perforation which needs to be treatedwith emergency surgery or grafted stents. In this report we describe a case of coronary perforation which occurred duringprimary PCI of the right coronary artery and was treated witha hand-made covered stent. The technique which we wereobliged to use in this case was successful in closure of the perforated segment and prevented progression to tamponade.

Özet

Koroner arter perforasyonu, koroner girişim yapılan hastaların%0,2-0,6’sında görülen ölümcül seyredebilecek bir komplikasyondur. Ellis sınıflamasına göre tip III perforasyon en mortal seyreden grup olup, greftli stent implantasyonu veya acil cerrahi müdahale gerektirir. Bu yazıda, akut inferior miyokard infarktüsü tanısıyla koroner anjiografiye alınan ve sağ koronerartere direkt stent implantasyonu sonrası koroner perforasyongelişmesi üzerine el yapımı greft stent ile rüptüre bölgenin kapatılmasını anlatmaktayız. Bu vakada uygulamak zorundakaldığımız yöntem, rüptüre segmenti tamamamen kapatmış vetamponad gelişmesini engellemiştir.

🔖

Cite This Article

DOĞAN, Y., SAĞLAM, H., ŞARLI, B., BAKTIR, A. O., ARINÇ, H., KURTUL, S. (2022). Koroner arter perforasyonunun el yapımı greft kaplı stentle onarımı. Erciyes Tıp Dergisi, Cilt: 35 - Sayı: 3, 164–166. https://ajindex.com/articles/502423

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Totsugawa T, Kuinose M, Yoshitaka H, Katayama K, Tsushima Y, Ishida A, et al. Surgical treatment for Ellis type 3 coronary perforation during percutaneous catheter intervention. Circ J 2012; 76(2): 377-81
  2. Lansky AJ, Yang YM, Khan Y, Costa RA, Pietras C, Tsuchiya Y, et al. Treatment of coronary artery perforations complicating percutaneous coronary intervention with a polytetrafluoroethylene-covered stent graft. Am J Cardiol 2006; 98(3): 370-4
  3. Shirakabe A, Takano H, Nakamura S, Kikuchi A, Sasaki A, Yamamoto E, et al. Coronary perforation during percutaneous coronary intervention. Int Heart J 2007; 48(1): 1-9
  4. Ellis SG, Ajluni S, Arnold AZ, Popma JJ, Bittl JA, Eigler NL, et al. Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 1994; 90(6): 2725-30
  5. Shimony A, Zahger D, Van Straten M, Shalev A, Gilutz H, Ilia R, et al. Incidence, risk factors, management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 2009; 104(12): 1674-7
  6. Ajluni SC, Glazier S, Blankenship L, O’Neill WW, Safian RD. Perforations after percutaneous coronary interventions: clinical, angiographic, and therapeutic observations. Cathet Cardiovasc Diagn 1994; 32(3): 206-12
  7. Yorgun H, Canpolat U, Aytemir K, Oto A. Emergency polytetrafluoro- ethylene-covered stent implantation to treat right coronary artery perforation during percutaneous coronary intervention. Cardiol J 2012; 19(6): 639-42
  8. Javaid A, Buch AN, Satler LF Kent KM, Suddath WO, Lindsay J Jr, et al. Management and outcomes of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 2006; 98(7): 911-4
  9. Copeland KA, Hopkins JT, Weintraub WS, Rahman E. Long-term fol- low-up of polytetrafluoroethylene-covered stents implanted during percutaneous coronary intervention for management of acute coro- nary perforation. Catheter Cardiovasc Interv 2012; 80(1): 53-7
  10. Roy P de Labriolle A, Hanna N, Bonello L, Okabe T, Pinto Slottow TL, et al. Requirement for emergent coronary artery bypass surgery follow- ing percutaneous coronary intervention in the stent era. Am J Cardiol 2009; 103(7): 950-3.