Successful management of coronary artery perforation with drug-coated balloon: a case report
Abstract Background Coronary artery perforation (CAP) is a rare but serious complication of Percutaneous coronary intervention (PCI) with significant morbidity and mortality. Traditional management involves the use of covered stents, yet alternative interventions may be necessary. To report a unique...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-11-01
|
| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-024-04309-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850056223377850368 |
|---|---|
| author | Bi-hua Li Jing-han Yang Qing-hua Zhang Yang Sun Wen Gao |
| author_facet | Bi-hua Li Jing-han Yang Qing-hua Zhang Yang Sun Wen Gao |
| author_sort | Bi-hua Li |
| collection | DOAJ |
| description | Abstract Background Coronary artery perforation (CAP) is a rare but serious complication of Percutaneous coronary intervention (PCI) with significant morbidity and mortality. Traditional management involves the use of covered stents, yet alternative interventions may be necessary. To report a unique case of CAP managed effectively with a drug-coated balloon, highlighting a novel application of this technology in emergency PCI. Case presentation A 73-year-old male with a history of chronic angina, hypertension, and diabetes underwent PCI for severe stenosis in the mid-left anterior descending (LAD) artery. During the procedure, a large vessel CAP occurred. Immediate management included hemodynamic stabilization via fluid resuscitation and dopamine administration, followed by the deployment of drug-coated balloons instead of the conventional covered stent to seal the perforation. The intervention successfully sealed the perforation with restoration of thrombolysis in myocardial infarction 3 flow, and the patient remained hemodynamically stable. Follow-up over six months showed no adverse cardiovascular events and normal cardiac function was maintained. Conclusions This case demonstrates the potential of drug-coated balloons as a feasible alternative to covered stents in managing CAP, particularly in large vessel perforations. Further research is warranted to assess the long-term safety and efficacy of this approach. |
| format | Article |
| id | doaj-art-c1f8943db13a426a9dad930ff2debbc4 |
| institution | DOAJ |
| issn | 1471-2261 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj-art-c1f8943db13a426a9dad930ff2debbc42025-08-20T02:51:45ZengBMCBMC Cardiovascular Disorders1471-22612024-11-012411510.1186/s12872-024-04309-9Successful management of coronary artery perforation with drug-coated balloon: a case reportBi-hua Li0Jing-han Yang1Qing-hua Zhang2Yang Sun3Wen Gao4Department of Emergency, Bayannaoer HospitalDepartment of Emergency, Bayannaoer HospitalDepartment of Emergency, Bayannaoer HospitalDepartment of Emergency, Bayannaoer HospitalDepartment of Emergency, Bayannaoer HospitalAbstract Background Coronary artery perforation (CAP) is a rare but serious complication of Percutaneous coronary intervention (PCI) with significant morbidity and mortality. Traditional management involves the use of covered stents, yet alternative interventions may be necessary. To report a unique case of CAP managed effectively with a drug-coated balloon, highlighting a novel application of this technology in emergency PCI. Case presentation A 73-year-old male with a history of chronic angina, hypertension, and diabetes underwent PCI for severe stenosis in the mid-left anterior descending (LAD) artery. During the procedure, a large vessel CAP occurred. Immediate management included hemodynamic stabilization via fluid resuscitation and dopamine administration, followed by the deployment of drug-coated balloons instead of the conventional covered stent to seal the perforation. The intervention successfully sealed the perforation with restoration of thrombolysis in myocardial infarction 3 flow, and the patient remained hemodynamically stable. Follow-up over six months showed no adverse cardiovascular events and normal cardiac function was maintained. Conclusions This case demonstrates the potential of drug-coated balloons as a feasible alternative to covered stents in managing CAP, particularly in large vessel perforations. Further research is warranted to assess the long-term safety and efficacy of this approach.https://doi.org/10.1186/s12872-024-04309-9Coronary artery diseasePercutaneous coronary interventionCoronary artery perforationDrug-coated balloonChronic total occlusion |
| spellingShingle | Bi-hua Li Jing-han Yang Qing-hua Zhang Yang Sun Wen Gao Successful management of coronary artery perforation with drug-coated balloon: a case report BMC Cardiovascular Disorders Coronary artery disease Percutaneous coronary intervention Coronary artery perforation Drug-coated balloon Chronic total occlusion |
| title | Successful management of coronary artery perforation with drug-coated balloon: a case report |
| title_full | Successful management of coronary artery perforation with drug-coated balloon: a case report |
| title_fullStr | Successful management of coronary artery perforation with drug-coated balloon: a case report |
| title_full_unstemmed | Successful management of coronary artery perforation with drug-coated balloon: a case report |
| title_short | Successful management of coronary artery perforation with drug-coated balloon: a case report |
| title_sort | successful management of coronary artery perforation with drug coated balloon a case report |
| topic | Coronary artery disease Percutaneous coronary intervention Coronary artery perforation Drug-coated balloon Chronic total occlusion |
| url | https://doi.org/10.1186/s12872-024-04309-9 |
| work_keys_str_mv | AT bihuali successfulmanagementofcoronaryarteryperforationwithdrugcoatedballoonacasereport AT jinghanyang successfulmanagementofcoronaryarteryperforationwithdrugcoatedballoonacasereport AT qinghuazhang successfulmanagementofcoronaryarteryperforationwithdrugcoatedballoonacasereport AT yangsun successfulmanagementofcoronaryarteryperforationwithdrugcoatedballoonacasereport AT wengao successfulmanagementofcoronaryarteryperforationwithdrugcoatedballoonacasereport |