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

Kaluski, Edo; Gerula, Christine; Randhawa, Preet; Haider, Bunyad; Klapholz, Marc

doi:10.1080/17482940903003000

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kalusky et al . [38] reported that GraftMasters of ≤5 mm can be easily deployed via 6 Fr guiding catheters as demonstrated in these two patients. In a recent study, treating a coronary artery perforation with two guide catheters through dual access enabled a rapid delivery of covered stent or coils to the vessel, without losing control of the perforation site.…”

Section: Discussionmentioning

confidence: 80%

Coronary perforation and covered stents: An update and review

et al. 2011

View full text Add to dashboard Cite

Coronary perforation is a rare complication of percutaneous coronary intervention. We present two different types of coronary intervention, but both ending with coronary perforation. However, these perforations were tackled successfully by covered stents. This article reviews the incidence, causes, presentation, and management of coronary perforation in the present era of aggressive interventional cardiology. Coronary perforations are classified as type I (extraluminal crater), II (myocardial or pericardial blushing), and III (contrast streaming or cavity spilling). Types I and II coronary perforations are caused by stiff or hydrophilic guidewires. Type I has a benign prognosis, whereas type II coronary perforations have the potential to progress to tamponade. Type III coronary perforations are caused by balloons, stents, or other intracoronary devices and commonly lead to cardiac tamponade necessitating pericardial drainage. However, type III perforations can be managed with covered stents without need for surgical intervention.

show abstract

Section: Discussionmentioning

confidence: 80%

Coronary perforation and covered stents: An update and review

et al. 2011

View full text Add to dashboard Cite

show abstract

“…The process of study selection is shown in Figure 1. From a total of 319 studies in our search, only 29 reports were included in the analysis 6,8–35 . The description of the included studies is shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Outcomes of patients who undergo percutaneous coronary intervention with covered stents for coronary perforation: A systematic review and pooled analysis of data

Nagaraja

Schwarz

Moss

et al. 2019

Cathet Cardio Intervent

View full text Add to dashboard Cite

Objectives: This review aims to evaluate the adverse outcomes for patients after treatment with covered stents. Background: Coronary perforation is a potentially fatal complication of percutaneous coronary revascularization which may be treated using covered stents. Studies have evaluated long-term outcomes among patients who received these devices, but hitherto no literature review has taken place. Methods: We conducted a systematic review of adverse outcomes for patients after treatment with covered stents. Data from studies were pooled and outcomes were compared according to stent type. Results: A total of 29 studies were analyzed with data from 725 patients who received covered stents. The proportion of patients with chronic total occlusions, vein graft percutaneous coronary intervention (PCI), intracoronary imaging and rotational atherectomy were 16.9, 11.5, 9.2, and 6.6%, respectively. The stents used were primarily polytetrafluoroethylene (PTFE) (70%) and Papyrus (20.6%). Mortality, major adverse cardiovascular events, pericardiocentesis/tamponade and emergency surgery were 17.2, 35.3, 27.1, and 5.3%, respectively. Stratified analysis by use of PTFE, Papyrus and pericardial stents, suggested no difference in mortality (p = .323), or target lesion revascularization (p = .484). Stent thrombosis, pericardiocentesis/tamponade and emergency coronary artery bypass surgery (CABG) occurred more frequently in patients with PTFE stent use (p = .011, p = .005, p = .012, respectively). In-stent restenosis was more common with pericardial stent use (<.001, pooled analysis for first-and second-generation pericardial stents). Conclusions: Cases of coronary perforation which require implantation of a covered stent are associated with a high rate of adverse outcomes. The use of PTFE covered stents appears to be associated with more stent thrombosis, pericardiocentesis/ tamponade, and emergency CABG when compared to Papyrus or pericardial stents.

show abstract

“…GraftMaster Coronary Stent Graft System is approved under Humanitarian Device Exemption for the repair of free perforations in native coronary vessels and SVG. There are some reported cases of repair of native coronary artery aneurysms and perforations with GraftMaster [10-11]. However, it has been rarely used for the repair of SVG pseudoaneurysms [12].…”

Section: Discussionmentioning

confidence: 99%

Saphenous Vein Graft Pseudoaneurysm Repair with GraftMaster®

Jehangir

Lambert

Sawar

2018

Cureus

View full text Add to dashboard Cite

Saphenous vein graft (SVG) pseudoaneurysm is a rare complication of coronary artery bypass graft (CABG) surgery. Despite the high mortality associated with SVG pseudoaneurysm, there is no consensus on the optimal management of these pseudoaneurysms as they are infrequently reported in the literature. We report a case of a 55-year-old man with prior CABG surgery who presented with cough associated with hemoptysis and chest pain, and was found to have SVG pseudoaneurysm. The pseudoaneurysm was successfully closed with polytetrafluoroethylene (PTFE)-covered Jostent GraftMaster® (Abbott Vascular, Santa Clara, CA). We propose that GraftMaster is an effective means of treating SVG pseudoaneurysms percutaneously.

show abstract

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

Cited by 4 publications

References 18 publications

Coronary perforation and covered stents: An update and review

Coronary perforation and covered stents: An update and review

Outcomes of patients who undergo percutaneous coronary intervention with covered stents for coronary perforation: A systematic review and pooled analysis of data

Saphenous Vein Graft Pseudoaneurysm Repair with GraftMaster®

Contact Info

Product

Resources

About