| Autor: |
Tassanawiwat W, Biondi-Zoccai GG, Sangiorgi G, Iakovou I, Tsagalou E, Melzi G, Ge L, Morici N, Corvaja N, Colombo A |
| Jazyk: |
angličtina |
| Zdroj: |
International journal of cardiology [Int J Cardiol] 2006 Jan 26; Vol. 106 (3), pp. 418-9. |
| DOI: |
10.1016/j.ijcard.2005.01.017 |
| Abstrakt: |
Vessel perforation is an uncommon but potentially life-threatening complication of percutaneous coronary intervention and is often associated with the use of atheroablative devices. While effective management means are currently available, such as PTFE-covered stent, pericardiocentesis, and perfusion balloon, a timely and skillful approach is of paramount importance to solve this dreadful complication. We hereby describe a case of saphenous vein graft (SVG) perforation occurring after cutting balloon angioplasty for in-stent restenosis. Despite the immediate occurrence of cardiac arrest due to massive extravasation of contrast in the mediastinum with pericardial tamponade, deep catheter intubation enabled the deployment of two PTFE-covered stents and subsequent sealing of the leak with repeated inflation of a perfusion balloon, while hemopericardium was drained by pericardiocentesis. This clinical vignette emphasizes the role of optimal backup in order to deploy life-saving devices and successfully manage life-threatening pericardial tamponade due to SVG rupture. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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