Sealing coronary perforation by hand-made covered stent: A case report

Authors

  • Md. Fakhrul Islam Khaled Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, Email: drfikhaled@bsmmu.edu.bd https://orcid.org/0000-0002-1003-6598
  • Muhammad Salim Mahmod Dr. Sirajul Islam Medical College Hospital, Mogbazar, Dhaka, Bangladesh, Email: maheccc@gmail.com
  • Mohammad Arifur Rahman Sarkari Karmachari Hospital, Dhaka, Bangladesh, Email: maheccc@gmail.com https://orcid.org/0000-0003-0840-4213
  • Mohammad Moynul Haque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, Email: moynulmunna@gmail.com
  • Sharmin Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, Email: sharmin.disha@gmail.com https://orcid.org/0000-0002-3111-0849

DOI:

https://doi.org/10.3329/bsmmuj.v16i4.67399

Keywords:

percutaneous coronary intervention, coronary artery perforation, covered stent

Abstract

Coronary artery perforation, a rare but deadly complication of percutaneous coronary intervention (PCI), can be managed by several modalities, including balloon inflation, heparin-reversing agent, thrombin injection, microcoils, fat embolization, covered-stent implantation, or surgery. We share our experience in emergency innovative management of coronary perforation during routine PCI. We faced an Ellis class III perforation of the right coronary artery during PCI. The balloon inflation technique failed to occlude the perforation, and no other facility was available to solve the problem immediately. The patient developed mild pericardial effusion but was hemodynamically stable. We made a covered stent by wrapping it with polyurethane (Tegaderm® skin dressing material) and deployed it. The perforation was sealed. The patient was discharged in stable condition and doing well at a 12-month follow-up examination. Hand-made covered stent may be a good bailout option to seal coronary perforation where premounted covered stents are not readily available.

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Published

2023-11-09

How to Cite

Khaled, M. F. I. ., Mahmod, M. S. ., Rahman, M. A. ., Haque, M. M. ., & Ahmed, S. . (2023). Sealing coronary perforation by hand-made covered stent: A case report. Bangabandhu Sheikh Mujib Medical University Journal, 16(4). https://doi.org/10.3329/bsmmuj.v16i4.67399

Issue

Section

Case Report

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