Successful sealing of perforation of saphenous vein graft by coronary stent

Abstract

Coronary artery perforation is a rare occurrence during angioplasty and could lead to major complications requiring emergency surgical intervention. We describe a case of perforation of a saphenous vein graft during stenting. The perforation was successfully sealed by a second coronary stent.

Superior vena cava syndrome: A rare complication of saphenous vein graft stenting

“…Possible causes of perforation are devices that are too large [1], balloon rupture or perforation of thin walled vessels by the edges of the stent [2]. In our case the device didn't seem too large since the balloon and graft diameter appeared to be similar on angiography.…”

A unique and unexplained ricochet leak post PCI – Successfully treated with intra-coronary glue

“…Salvage techniques for CAP including prolonged balloon inflation, 12 polytetrafluoroethylene-covered stents13, 14, 15 and transcatheter embolization of micro-coils,16, 17 subcutaneous tissue, 18 thrombin, 19 a sterile synthetic glue, 1 polyvinyl alcohol, 20 or collagen 21, 22…”

Spontaneous Vein Graft Rupture after Infrainguinal Vascular Reconstruction: Report of Three Cases

“…Vein graft rupture has also been seen after angioplasty or stent placement. 17,18 Graft rupture due to infection, external trauma, or exposed graft is well described, as is rupture of saphenous vein patches used in the carotid artery post endarterectomy. 2,19,20 One case of early rupture of a coronary vein graft was found to be due to infection.…”