Homemade stent shields: fortifying against coronary perforation in STEMI patients amidst intensive glycoprotein IIb/IIIa inhibitors-a case report.

ABSTRACT:

Background

Coronary artery perforation (CAP), though rare, is a serious complication of percutaneous coronary intervention (PCI) that demands prompt, tailored management. Swift recognition and intervention are essential. Typically, a covered stent is used to seal the perforation and restore vessel integrity. However, if unavailable, a homemade covered stent can be crafted and deployed. The choice of treatment depends on bleeding severity, patient stability, and available resources.

Case summary

A 70-year-old male with a history of diabetes and hypertension presented with severe chest pain persisting for 7-8 h, radiating to the left arm and jaw, accompanied by diaphoresis and nausea. His baseline electrocardiogram revealed an extensive anterior wall myocardial infarction, pro

SUBMITTER: Hanif MI 

PROVIDER: S-EPMC11811739 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature