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 language | English |
|---|---|
| Pages (from-to) | 418-419 |
| Number of pages | 2 |
| Journal | International Journal of Cardiology |
| Volume | 106 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jan 26 2006 |
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Keywords
- Cardiac tamponade
- Cutting balloon
- Stent
- Vessel perforation
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
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 journal › Article
}
TY - JOUR
T1 - Percutaneous safenectomy
T2 - A potentially dreadful complication of cutting balloon angioplasty in safenous vein grafts
AU - Tassanawiwat, Worawut
AU - Biondi-Zoccai, Giuseppe G L
AU - Sangiorgi, Giuseppe
AU - Iakovou, Ioannis
AU - Tsagalou, Eleutheria
AU - Melzi, Gloria
AU - Ge, Lei
AU - Morici, Nuccia
AU - Corvaja, Nicola
AU - Colombo, Antonio
PY - 2006/1/26
Y1 - 2006/1/26
N2 - 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.
AB - 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.
KW - Cardiac tamponade
KW - Cutting balloon
KW - Stent
KW - Vessel perforation
UR - http://www.scopus.com/inward/record.url?scp=28844494967&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=28844494967&partnerID=8YFLogxK
U2 - 10.1016/j.ijcard.2005.01.017
DO - 10.1016/j.ijcard.2005.01.017
M3 - Article
C2 - 16337059
AN - SCOPUS:28844494967
VL - 106
SP - 418
EP - 419
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 3
ER -