Complex Treatment of a Coronary Bifurcation Perforation With a Dual-Covered Stent Strategy.

ABSTRACT:

Background

Perforation of a major epicardial coronary artery during percutaneous coronary interventions (PCIs) is potentially lethal.

Summary

Here the authors present a novel treatment strategy for managing a perforation in the bifurcation core with a complex 2-stent technique using polyurethane-covered stents. Specialized equipment for chronic total occlusion (CTO) interventions was used for recanalization of the main vessel and side branch. The procedure was tested in a bench setting and validated using 3-dimensional optical coherence tomography and micro-computed tomography.

Discussion

The case emphasizes the need for complex CTO-PCI techniques in the treatment of acute non-CTO PCI.

Novelty

To the best of our knowledge, this is the first report of a complex

SUBMITTER: Holck EN 

PROVIDER: S-EPMC12046829 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature