Case report: Unexpected Coronary Perforation During

Apró D; Fogarassy G; Posgay B

Apró D et al.

Case report: Unexpected Coronary Perforation During "Simple" Direct Stenting

Journal für Kardiologie - Austrian Journal of Cardiology 2013; 20 (7-8): 218-221

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Abbildung

Vollbildansicht	LAD Stenosis Abbildung 1: Baseline angiogram showed a long, approximately 60 % left anterior descending artery (LAD) stenosis. Keywords: angiogram, Angiographie, Kardiologie


Vollbildansicht	LAD Stenting Abbildung 2: In this case the determined FFRmyo was = 0.70, therefore the stenosis was considered significant and angioplasty to the LAD with direct stenting was decided. Keywords: Kardiologie, Stenose, Stenosis


Vollbildansicht	Liberte Stent Abbildung 3: A 3.5 × 32 mm Liberte Stent (Boston Scientific, Natick, MA) was deployed at 12 atm. Keywords: angiogram, Angiographie, Kardiologie, Stent


Vollbildansicht	Coronary perforation Abbildung 4: Angiography confirmed the presence of Ellis grade 3 coronary perforation at the proximal part of the stent with free flow of contrast into the pericardial space. Keywords: angiogram, Angiographie, coronary perforation, Kardiologie, koronare Perforation


Vollbildansicht	Pericardial fluid Abbildung 5: Considerable amount of pericardial fluid (PF) became apparent (between arrows). Keywords: angiogram, Angiographie, Kardiologie, pericardial fluid


Vollbildansicht	Stent Abbildung 6: A 3,5 × 19 mm JOSTENT GraftMaster (Abbott Vascular, Santa Clara, California) was deployed at 12 atm over the perforation site. Keywords: Kardiologie, Stent, Stenting


Vollbildansicht	Test injections Abbildung 7: Test injections revealed no further extravasation, the flow into the pericardial space abolished. Keywords: angiogram, Angiographie, Kardiologie


Vollbildansicht	Direct Stenting Abbildung 8 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 9 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 9 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 10 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 11 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 12 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 13 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 14 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 15 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 17 Keywords: Kardiologie Film starten


Vollbildansicht	Direct Stenting Abbildung 18 Keywords: Kardiologie Film starten