Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures

Carlo Briguori, Takahiro Nishida, Angelo Anzuini, Carlo Di Mario, Eberhard Grube, Antonio Colombo

Research output: Contribution to journalArticlepeer-review

Abstract

Background - Coronary perforation is a life-threatening complication of percutaneous interventions. In the past few years, the implantation of covered stents has emerged as a strategy for treatment when the traditional conservative approach (ie, prolonged balloon inflation and reversal of anticoagulation) fails. Methods and Results - Since May 1997 (when polytetrafluoroethylene [PTFE]-covered stents were available at our institutions), 11 of the 12 consecutive patients who had coronary ruptures that were unsuccessfully sealed with prolonged balloon inflation and reversal of anticoagulation were treated with 12 PTFE-covered stents (PTFE group). The efficacy of the PTFE-covered stent was compared with that of noncovered stents, which were used to treat 17 perforations (non-PTFE group). One patient sustained a very distal perforation that was not suitable for covered stent sealing and underwent emergency surgery All vessel ruptures treated with PTFE-covered stent implantation were successfully sealed. The time necessary to deploy the stent was 10±3 minutes (range, 4 to 15 minutes). All patients but one were discharged from the hospital and had an optimal early clinical outcome. One patient underwent emergency bypass surgery and died in the intensive care unit. The occurrence of cardiac tamponade and the necessity for emergency surgery was significantly lower in the PTFE group than in the non-PTFE group. At 14±4 months, the 10 discharged patients had not experienced any major adverse cardiac events. Conclusions - This preliminary study supports the utility of the PTFE-covered stent for the nonsurgical treatment of vessel ruptures.

Original languageEnglish
Pages (from-to)3028-3031
Number of pages4
JournalCirculation
Volume102
Issue number25
Publication statusPublished - Dec 19 2000

Keywords

  • Angioplasty
  • Coronary disease
  • Hemorrhage
  • Stents

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures'. Together they form a unique fingerprint.

Cite this