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Understanding large vessel perforation requiring treatment with covered stent implantation: A case series.
Denby, Kara; Zaczkiewicz, Myron; Banthiya, Sukriti; Mashayekhi, Kambis; Khatri, Jaikirshan.
Afiliação
  • Denby K; Department of Cardiology, Saint Alphonsus Medical Group, Boise, Idaho, USA.
  • Zaczkiewicz M; Heart Center Lahr, Internal Medicine and Cardiology, Lahr, Germany.
  • Banthiya S; Department of Internal Medicine, Ascension Providence Hospital, Southfield, Michigan, USA.
  • Mashayekhi K; Heart Center Lahr, Internal Medicine and Cardiology, Lahr, Germany.
  • Khatri J; Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Catheter Cardiovasc Interv ; 103(4): 570-579, 2024 03.
Article em En | MEDLINE | ID: mdl-38470093
ABSTRACT
Large vessel perforation during coronary intervention is a rare but potentially fatal complication, often requiring implantation of a covered stent for resolution. While technology is improving, the long-term patency of covered stents is less than drug-eluting stents, and implantation of covered stents should be used sparingly. Large vessel perforations are complex and often the perforation inflow is not located at the site of extravasation seen on angiography. This can lead to geographic miss when implanting covered stents and necessitate the implantation of additional covered stents which increases the risk for short- and long-term complications. We present a case series to further investigate the anatomy and mechanism of large vessel perforations and guidance on effective covered stent implantation.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Stents / Lesões do Sistema Vascular / Intervenção Coronária Percutânea Limite: Humans Idioma: En Revista: Catheter Cardiovasc Interv Assunto da revista: CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Stents / Lesões do Sistema Vascular / Intervenção Coronária Percutânea Limite: Humans Idioma: En Revista: Catheter Cardiovasc Interv Assunto da revista: CARDIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos