Angiographic and clinical outcomes of polytetrafluoroethylene-covered stent use in significant coronary perforations

Ly, Hung Q.; Awaida, Jean-Pierre S.; Lespérance, Jacques; Bilodeau, Luc

doi:10.1016/j.amjcard.2004.09.010

Cited by 44 publications

(38 citation statements)

References 10 publications

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“…Before sending the patient to the operating room, delivery of the autologous covered stent might be attempted as an optional treatment, 21) although the restenosis rate of this device is known to be high. 22,23) In particular, when the risk associated with the surgical procedure is considered to be higher than the subsequent cardiac event related with the restenosis or reocclusion of the covered stent, or when a certain condition does not allow an emergency operation to be performed, this method is considered to be valuable.…”

Section: Discussionmentioning

confidence: 99%

Coronary Perforation During Percutaneous Coronary Intervention Lessons From Our Experiences

et al. 2007

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SUMMARYCoronary perforation is an undesirable complication during percutaneous coronary intervention (PCI). We reviewed the cases of overt coronary perforation in our institute and analyzed their clinical backgrounds, the characteristics of the target lesion, management, and clinical outcomes. Between 1991 and 2005, we experienced 12 cases (0.35%) of coronary perforation in a total of 3415 PCI procedures. The perforation occurred during the use of debulking devices in 3 cases, immediately after stenting in 2, immediately after postdilatation of the stent in 2, and during wiring in 3 cases. Restoration was attempted by long inflation of a balloon in 7 cases, implantation of a covered stent graft in 1, and emergency surgical repair in 1 case. Subsequent cardiac tamponade occurred in 3 patients who required pericardiocentesis, and 1 patient died due to congestive heart failure. Administration of protamine was effective in stopping the bleeding in 6 patients, whereas continuation of antiplatelet therapy resulted in no overt rebleeding. Coronary perforation during PCI is a rare complication but is associated with significant morbidity and mortality. Intravenous administration of protamine is effective when it is used in conjunction with nonsurgical devices for initial management of perforation. (Int Heart J 2007; 48: 1-9)

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Section: Discussionmentioning

confidence: 99%

Coronary Perforation During Percutaneous Coronary Intervention Lessons From Our Experiences

et al. 2007

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“…Thus, covered stents, avoiding blood leakage between stent struts, may be an alternative to emergency surgery especially in the case of rapid deterioration and should be the preferred choice of therapy in the case of coronary perforation [8]. These positive findings have also been confirmed in other reports [9][10][11][12][13][14][15]. Therefore, compared to surgical interventions and hand-manufactured stent grafts, the implantation of synthetic stent grafts is less invasive, more efficient and timely, and appear to offer the best treatment option for acute perforations.…”

Section: Coronary Perforationmentioning

confidence: 52%

Covered stents: A review

Jamshidi

Mahmoody

Erné

2008

International Journal of Cardiology

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“…The use of JOSTENT GraftMaster to seal coronary perforations revolutionized the care of these complications in the eyes of most (3,11,12) but not all (13) investigators. However, these bulkier over-the wire stents requires larger guiding catheters (]7 Fr according to manufacturer's instructions), and long (300 cm) guide wires for their deployment.…”

Section: Discussionmentioning

confidence: 99%

Massive coronary perforation and shock: From appropriate labeling to appropriate calls

et al. 2009

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Coronary perforation is a rare, unpredictable and dreaded complication of percutaneous coronary Intervention. With Ellis Grade 3 perforations the only effective treatment includes temporary balloon occlusion of the perforated coronary artery and placement of JOSTENT GraftMaster stent to cover the perforation. The authors describe coronary perforation during proximal right coronary artery (RCA) stenting, resulting in immediate cardiogenic shock. The patient was treated with temporary balloon occlusion of the RCA, reversal of anti-coagulation, sealing of the perforation with a GraftMaster stent, inotropes, intra-aortic balloon counterpulsation (IABC) and surgical drainage the pericardial space. The authors describe the rational of their therapeutic strategy. The methodology and pitfalls of GraftMaster deployment, in patients with massive coronary perforation are discussed. This report also emphasizes, that as opposed to manufactures instructions and all previous manuscripts, GraftMaster can be easily deployed via conventional 6F guiding catheters with internal diameter 0.070 inch (1.8 mm).

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Angiographic and clinical outcomes of polytetrafluoroethylene-covered stent use in significant coronary perforations

Cited by 44 publications

References 10 publications

Coronary Perforation During Percutaneous Coronary Intervention Lessons From Our Experiences

Coronary Perforation During Percutaneous Coronary Intervention Lessons From Our Experiences

Covered stents: A review

Massive coronary perforation and shock: From appropriate labeling to appropriate calls

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