Skip to main content
Erschienen in: Herz 8/2012

01.12.2012 | e-Herz: Case study

Left anterior descending artery perforation treated with graft stenting combining dual catheter and side branch graft stenting techniques

verfasst von: Dr. A. Ziakas, MD, F. Economou, C. Feloukidis, K. Kiratlidis, I. Stiliadis

Erschienen in: Herz | Ausgabe 8/2012

Einloggen, um Zugang zu erhalten

Abstract

Reported is a technique that was used to treat a distal left anterior descending (LAD) perforation in a patient undergoing percutaneous coronary intervention (PCI) for distal LAD total occlusion. The perforation was successfully treated by re-occluding the LAD with implantation of a polytetrafluoroethylene (PTFE)-covered stent in a diagonal branch extending to the LAD (side branch graft stenting technique) delivered using the dual catheter technique. This approach is proposed as an alternative bail-out technique that can be used in cases where other treatment options for coronary perforation are either unavailable or potentially not successful, especially during PCI for total occlusions, where the disadvantage of main vessel occlusion is already present.
Literatur
1.
Zurück zum Zitat Ellis SG, Ajluni S, Arnold AZ et al (1994) Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 90:2725–2730PubMedCrossRef Ellis SG, Ajluni S, Arnold AZ et al (1994) Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 90:2725–2730PubMedCrossRef
2.
Zurück zum Zitat Ajluni SC, Glazier S, Blankenship L et al (1994) Perforations after percutaneous coronary interventions: clinical, angiographic, and therapeutic observations. Cathet Cardiovasc Diagn 32:206–212PubMedCrossRef Ajluni SC, Glazier S, Blankenship L et al (1994) Perforations after percutaneous coronary interventions: clinical, angiographic, and therapeutic observations. Cathet Cardiovasc Diagn 32:206–212PubMedCrossRef
3.
Zurück zum Zitat Gruberg L, Pinnow E, Flood R et al (2000) Incidence, management, and outcome of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 86:680–682, A8PubMedCrossRef Gruberg L, Pinnow E, Flood R et al (2000) Incidence, management, and outcome of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol 86:680–682, A8PubMedCrossRef
4.
Zurück zum Zitat Fejka M, Dixon SR, Safian RD et al (2002) Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol 90:1183–1186PubMedCrossRef Fejka M, Dixon SR, Safian RD et al (2002) Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol 90:1183–1186PubMedCrossRef
5.
Zurück zum Zitat Fasseas P, Orford JL, Panetta CJ et al (2004) Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures. Am Heart J 147:140–145PubMedCrossRef Fasseas P, Orford JL, Panetta CJ et al (2004) Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures. Am Heart J 147:140–145PubMedCrossRef
6.
Zurück zum Zitat Briguori C, Nishida T, Anzuini A et al (2000) Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures. Circulation 102:3028–3031PubMedCrossRef Briguori C, Nishida T, Anzuini A et al (2000) Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures. Circulation 102:3028–3031PubMedCrossRef
7.
Zurück zum Zitat Lansky AJ, Yang Y, Khan Y et al (2006) Treatment of coronary artery perforations complicating percutaneous coronary intervention with a polytetrafluoroethylene-covered stent graft. Am J Cardiol 98:370–374PubMedCrossRef Lansky AJ, Yang Y, Khan Y et al (2006) Treatment of coronary artery perforations complicating percutaneous coronary intervention with a polytetrafluoroethylene-covered stent graft. Am J Cardiol 98:370–374PubMedCrossRef
8.
Zurück zum Zitat Ben-Gal Y, Weisz G, Collins MB et al (2010) Dual catheter technique for the treatment of severe coronary artery perforations. Catheter Cardiovasc Interv 75:708–712PubMedCrossRef Ben-Gal Y, Weisz G, Collins MB et al (2010) Dual catheter technique for the treatment of severe coronary artery perforations. Catheter Cardiovasc Interv 75:708–712PubMedCrossRef
9.
Zurück zum Zitat Assali AR, Moustapha A, Sdringola S et al (2000) Successful treatment of coronary artery perforation in an abciximab-treated patient by microcoil embolization. Catheter Cardiovasc Interv 51:487–489PubMedCrossRef Assali AR, Moustapha A, Sdringola S et al (2000) Successful treatment of coronary artery perforation in an abciximab-treated patient by microcoil embolization. Catheter Cardiovasc Interv 51:487–489PubMedCrossRef
10.
Zurück zum Zitat Dippel EJ, Kereiakes DJ, Tramuta DA et al (2001) Coronary perforation during percutaneous coronary intervention in the era of abciximab platelet glycoprotein IIb/IIIa blockade: an algorithm for percutaneous management. Catheter Cardiovasc Interv 52:279–286PubMedCrossRef Dippel EJ, Kereiakes DJ, Tramuta DA et al (2001) Coronary perforation during percutaneous coronary intervention in the era of abciximab platelet glycoprotein IIb/IIIa blockade: an algorithm for percutaneous management. Catheter Cardiovasc Interv 52:279–286PubMedCrossRef
11.
Zurück zum Zitat Kini AS, Rafael OC, Sarkar K et al (2009) Changing outcomes and treatment strategies for wire induced coronary perforations in the era of bivalirudin use. Catheter Cardiovasc Interv 74:700–777PubMedCrossRef Kini AS, Rafael OC, Sarkar K et al (2009) Changing outcomes and treatment strategies for wire induced coronary perforations in the era of bivalirudin use. Catheter Cardiovasc Interv 74:700–777PubMedCrossRef
12.
Zurück zum Zitat Holmes DR Jr, Reeder GS, Ghazzal ZM et al (1994) Coronary perforation after excimer laser coronary angioplasty: the excimer laser coronary angioplasty registry experience. J Am Coll Cardiol 23:330–335PubMedCrossRef Holmes DR Jr, Reeder GS, Ghazzal ZM et al (1994) Coronary perforation after excimer laser coronary angioplasty: the excimer laser coronary angioplasty registry experience. J Am Coll Cardiol 23:330–335PubMedCrossRef
13.
Zurück zum Zitat Bittl JA, Ryan TJ Jr, Keaney JF Jr et al (1993) Coronary artery perforation during excimer laser coronary angioplasty. The percutaneous excimer laser coronary angioplasty registry. J Am Coll Cardiol 21:1158–1165PubMedCrossRef Bittl JA, Ryan TJ Jr, Keaney JF Jr et al (1993) Coronary artery perforation during excimer laser coronary angioplasty. The percutaneous excimer laser coronary angioplasty registry. J Am Coll Cardiol 21:1158–1165PubMedCrossRef
14.
Zurück zum Zitat Wong CM, Kwong Mak GY, Chung DT (1998) Distal coronary artery perforation resulting from the use of hydrophilic coated guidewire in tortuous vessels. Cathet Cardiovasc Diagn 44:93–96PubMedCrossRef Wong CM, Kwong Mak GY, Chung DT (1998) Distal coronary artery perforation resulting from the use of hydrophilic coated guidewire in tortuous vessels. Cathet Cardiovasc Diagn 44:93–96PubMedCrossRef
15.
Zurück zum Zitat Silver KH, Bauman WB, Berkovitz KE (2003) Dual-catheter covered stenting: a novel approach to the treatment of large coronary artery perforations. J Invasive Cardiol 15:348–350PubMed Silver KH, Bauman WB, Berkovitz KE (2003) Dual-catheter covered stenting: a novel approach to the treatment of large coronary artery perforations. J Invasive Cardiol 15:348–350PubMed
Metadaten
Titel
Left anterior descending artery perforation treated with graft stenting combining dual catheter and side branch graft stenting techniques
verfasst von
Dr. A. Ziakas, MD
F. Economou
C. Feloukidis
K. Kiratlidis
I. Stiliadis
Publikationsdatum
01.12.2012
Verlag
Urban and Vogel
Erschienen in
Herz / Ausgabe 8/2012
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-012-3645-6

Weitere Artikel der Ausgabe 8/2012

Herz 8/2012 Zur Ausgabe

CME Zertifizierte Fortbildung

Diagnostik der koronaren Herzkrankheit

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.