Percutaneous safenectomy: A potentially dreadful complication of cutting balloon angioplasty in safenous vein grafts

Worawut Tassanawiwat, Giuseppe G L Biondi-Zoccai, Giuseppe Sangiorgi, Ioannis Iakovou, Eleutheria Tsagalou, Gloria Melzi, Lei Ge, Nuccia Morici, Nicola Corvaja, Antonio Colombo

Research output: Contribution to journalArticle

Abstract

Vessel perforation is an uncommon but potentially life-threatening complication of percutaneous coronary intervention and is often associated with the use of atheroablative devices. While effective management means are currently available, such as PTFE-covered stent, pericardiocentesis, and perfusion balloon, a timely and skillful approach is of paramount importance to solve this dreadful complication. We hereby describe a case of saphenous vein graft (SVG) perforation occurring after cutting balloon angioplasty for in-stent restenosis. Despite the immediate occurrence of cardiac arrest due to massive extravasation of contrast in the mediastinum with pericardial tamponade, deep catheter intubation enabled the deployment of two PTFE-covered stents and subsequent sealing of the leak with repeated inflation of a perfusion balloon, while hemopericardium was drained by pericardiocentesis. This clinical vignette emphasizes the role of optimal backup in order to deploy life-saving devices and successfully manage life-threatening pericardial tamponade due to SVG rupture.

Original languageEnglish
Pages (from-to)418-419
Number of pages2
JournalInternational Journal of Cardiology
Volume106
Issue number3
DOIs
Publication statusPublished - Jan 26 2006

Fingerprint

Balloon Angioplasty
Pericardiocentesis
Stents
Veins
Cardiac Tamponade
Saphenous Vein
Polytetrafluoroethylene
Transplants
Perfusion
Equipment and Supplies
Pericardial Effusion
Economic Inflation
Mediastinum
Percutaneous Coronary Intervention
Heart Arrest
Intubation
Rupture
Catheters

Keywords

  • Cardiac tamponade
  • Cutting balloon
  • Stent
  • Vessel perforation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Tassanawiwat, W., Biondi-Zoccai, G. G. L., Sangiorgi, G., Iakovou, I., Tsagalou, E., Melzi, G., ... Colombo, A. (2006). Percutaneous safenectomy: A potentially dreadful complication of cutting balloon angioplasty in safenous vein grafts. International Journal of Cardiology, 106(3), 418-419. https://doi.org/10.1016/j.ijcard.2005.01.017

Percutaneous safenectomy : A potentially dreadful complication of cutting balloon angioplasty in safenous vein grafts. / Tassanawiwat, Worawut; Biondi-Zoccai, Giuseppe G L; Sangiorgi, Giuseppe; Iakovou, Ioannis; Tsagalou, Eleutheria; Melzi, Gloria; Ge, Lei; Morici, Nuccia; Corvaja, Nicola; Colombo, Antonio.

In: International Journal of Cardiology, Vol. 106, No. 3, 26.01.2006, p. 418-419.

Research output: Contribution to journalArticle

Tassanawiwat, W, Biondi-Zoccai, GGL, Sangiorgi, G, Iakovou, I, Tsagalou, E, Melzi, G, Ge, L, Morici, N, Corvaja, N & Colombo, A 2006, 'Percutaneous safenectomy: A potentially dreadful complication of cutting balloon angioplasty in safenous vein grafts', International Journal of Cardiology, vol. 106, no. 3, pp. 418-419. https://doi.org/10.1016/j.ijcard.2005.01.017
Tassanawiwat, Worawut ; Biondi-Zoccai, Giuseppe G L ; Sangiorgi, Giuseppe ; Iakovou, Ioannis ; Tsagalou, Eleutheria ; Melzi, Gloria ; Ge, Lei ; Morici, Nuccia ; Corvaja, Nicola ; Colombo, Antonio. / Percutaneous safenectomy : A potentially dreadful complication of cutting balloon angioplasty in safenous vein grafts. In: International Journal of Cardiology. 2006 ; Vol. 106, No. 3. pp. 418-419.
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