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


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


Keywords: angiogramAngiographieKardiologieStent
 
 
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: angiogramAngiographiecoronary perforationKardiologiekoronare Perforation
 
 
Pericardial fluid
Abbildung 5: Considerable amount of pericardial fluid (PF) became apparent (between arrows).


Keywords: angiogramAngiographieKardiologiepericardial fluid
 
 
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: KardiologieStentStenting
 
 
Test injections
Abbildung 7: Test injections revealed no further extravasation, the flow into the pericardial space abolished.


Keywords: angiogramAngiographieKardiologie
 
 
Direct Stenting
Abbildung 8


Keywords: Kardiologie

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Direct Stenting
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Keywords: Kardiologie

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Direct Stenting
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Keywords: Kardiologie

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Direct Stenting
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Keywords: Kardiologie

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Direct Stenting
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Keywords: Kardiologie

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Direct Stenting
Abbildung 12


Keywords: Kardiologie

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Direct Stenting
Abbildung 13


Keywords: Kardiologie

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Direct Stenting
Abbildung 14


Keywords: Kardiologie

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Direct Stenting
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Keywords: Kardiologie

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Direct Stenting
Abbildung 17


Keywords: Kardiologie

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Direct Stenting
Abbildung 18


Keywords: Kardiologie

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