| Percutaneous saphenectomy: a potentially dreadful complication of cutting balloon angioplasty in saphenous vein grafts. | |
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MedLine Citation:
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PMID: 16337059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Worawut Tassanawiwat; Giuseppe G L Biondi-Zoccai; Giuseppe Sangiorgi; Ioannis Iakovou; Eleutheria Tsagalou; Gloria Melzi; Lei Ge; Nuccia Morici; Nicola Corvaja; Antonio Colombo |
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Publication Detail:
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Type: Letter |
Journal Detail:
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Title: International journal of cardiology Volume: 106 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2005-12-12 Completed Date: 2006-03-21 Revised Date: 2006-07-12 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Ireland |
Other Details:
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Languages: eng Pagination: 418-9 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary
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adverse effects Atherectomy / adverse effects* Blood Vessel Prosthesis Implantation* Cardiac Tamponade / etiology*, therapy Coronary Artery Bypass / adverse effects, methods Graft Occlusion, Vascular / etiology, therapy* Heart Arrest / etiology, therapy Humans Male Middle Aged Pericardiocentesis Saphenous Vein / injuries*, transplantation Stents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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