A Percutaneous Coronary Intervention Complication: Coronary Perforation
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2013
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info:eu-repo/semantics/openAccess
Özet
Abstract:Koroner perforasyon, kateterizasyon laboratuvarının en korkulan ve ölümcül olabilen komplikasyonudur. Perforasyon sıklığı %O,2--O,6 olarak bildirilmiştir. Koroner perforasyonda, işlemi yapan kardiyologun kılavuzlarda bildirilen yetkinliğe sahip olması, kateter laboratuvarında covered stent bulunması hayat kurtarıcı olmaktadır. Efor testi pozitif olan, tipik anjina tanımlayan 69 yaşındaki hasta koroner anjiografi için kateter laboratuvarın alındı. Koroner anjiografide sol Ön inen koroner arter (LAD) orta segmentte saptanan %80 darlığa Biomime stent nominal basınçla yerleştirildi. Optimal açılımı sağlamak için powerline balon ile postdilatasyon uygulandı. Postdilatasyon sonucu Ellis grade lll perforasyon gelişti. Perforasyon bölgesine 3,0X'l9 mm graft stent implante edildi. Yapılan ekokardiyografi incelemelerinde perikardial mayii ve tamponat bulguları saptanmayan hasta stabil olarak taburcu edildi.
Abstract:Coronary perforation is the most feared and lethal complication in the catheterization laboratories. Perforation incidence is reported to be between 0,2 O,6%. Sixty nine year-old patient with typical angina pectoris and having positive effort test was admitted to the catheter laboratory for coronary angiography. In the coronary angiography, Biomime stent was deployed with nominal pressure to the mid segment of the left anterior descending (LAD) artery which was found to have 80% stenosis. In order to obtain optimal expansion, postdilatation was performed with powerline balloon. After postdilatation, Ellis grade III perforation was developed. Bleeding control was achieved with implantation of 3,0><19 mm graft stent to the perforation site. In the echocardiographic investigations, the patient did not exhibit any pericardial fluid and tamponade findings so the patient was discharged after 48 hours.
Abstract:Coronary perforation is the most feared and lethal complication in the catheterization laboratories. Perforation incidence is reported to be between 0,2 O,6%. Sixty nine year-old patient with typical angina pectoris and having positive effort test was admitted to the catheter laboratory for coronary angiography. In the coronary angiography, Biomime stent was deployed with nominal pressure to the mid segment of the left anterior descending (LAD) artery which was found to have 80% stenosis. In order to obtain optimal expansion, postdilatation was performed with powerline balloon. After postdilatation, Ellis grade III perforation was developed. Bleeding control was achieved with implantation of 3,0><19 mm graft stent to the perforation site. In the echocardiographic investigations, the patient did not exhibit any pericardial fluid and tamponade findings so the patient was discharged after 48 hours.
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İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi
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YILDIZ A,BAĞIRTAN B (2013). A Percutaneous Coronary Intervention Complication: Coronary Perforation. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 20(4), 338 - 340.
