Advances in the treatment of coronary perforations

Iosif Xenogiannis, Emmanouil S Brilakis

Research output: Contribution to journalEditorial

2 Citations (Scopus)

Abstract

Coronary artery perforation is an infrequent, but potentially life-threatening complication of percutaneous coronary intervention. There are four types of coronary perforation: (a) large vessel; (b) distal vessel; (c) septal collateral; and (d) epicardial collateral perforation. Implantation of a covered stent is the cornerstone of large vessel perforation treatment and can be used in some distal vessel perforations, when embolization is not feasible. Until now the only available covered stent in the US was the Graftmaster stent (two bare metal stents with a PTFE membrane in-between them), that has high profile and is challenging to deliver and expand. Use of the Graftmaster has been associated with high rates of in-stent restenosis and stent thrombosis. Availability of more deliverable covered stents, such as the BeGraft (Bentley InnoMed GmbH, Hechingen, Germany) and PK Papyrus (BIotronik, Lake Oswego, Oregon, that recently received FDA approval) will greatly facilitate treatment of large vessel coronary perforations.

Original languageEnglish (US)
Pages (from-to)921-922
Number of pages2
JournalCatheterization and Cardiovascular Interventions
Volume93
Issue number5
DOIs
StatePublished - Apr 1 2019
Externally publishedYes

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Stents
Coronary Vessels
Polytetrafluoroethylene
Percutaneous Coronary Intervention
Lakes
Germany
Thrombosis
Metals
Membranes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Advances in the treatment of coronary perforations. / Xenogiannis, Iosif; Brilakis, Emmanouil S.

In: Catheterization and Cardiovascular Interventions, Vol. 93, No. 5, 01.04.2019, p. 921-922.

Research output: Contribution to journalEditorial

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