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

Authors

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.

Downloads

Download data is not yet available.
Abstract
76
PDF
91 HTML
30 Peer Review File
39

Author Biographies

Md. Fakhrul Islam Khaled, Bangabandhu Sheikh Mujib Medical University

Department of Cardiology

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

ORCID: http://orcid.org/000-0003-0840-4213

Mohammad Arifur Rahman, Sarkari Karmachari Hospital

Dhaka, Bangladesh

Email: maheccc@gmail.com

ORCID: https://orcid.org/0000-0003-0840-4213

Mohammad Moynul Haque, Bangabandhu Sheikh Mujib Medical University

Department of Cardiology

Dhaka, Bangladesh

Email: moynulmunna@gmail.com

Sharmin Ahmed, Bangabandhu Sheikh Mujib Medical University

Department of Cardiology

Dhaka, Bangladesh

Email: sharmin.disha@gmail.com

http://orcid.org/000-0002-3111-0849

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 Reports

Most read articles by the same author(s)

Similar Articles

You may also start an advanced similarity search for this article.