Greftstent ile Tedavi Edilen Bir Koroner Perforasyon Olgusu

Koroner perforasyon, koroner arter hastalığının sıklıkla uygulanan tedavisi olan perkütan koroner girişimlerin, en korkulan ve hayatı tehdit edici komplikasyonlarından birisidir. Planlı elektif koroner girişim amaçlı koroner anjiografi laboratuvarına alınan 61 yaşındaki hastanın Circumflex arterine konan çıplak metal stent sonrası gelişen koroner perforasyon vakası sunulmaktadır. Hasta ve koroner lezyon, koroner perforasyon için bilinen risk faktörlerini taşımadığı halde gelişen Ellis tip III perforasyon, stentin içine yerleştirilen greftstent ile tedavi edildi

Use of Graftstent For The Acute Management of a Case of Coronary Perforation

Coronary perforation is one of the most dreadful and life threatening complications of coronary interventions commonly performed for the treatment of coronary artery disease. We present a case of coronary perforation, that developed following implantation of bare metal stent to the Circumflex artery of a 61 year old male patient who was admitted for a scheduled elective intervention. Although the patient and the coronary lesion did not have the factors known to increase the risk of perforation, an Ellis type III perforation developed which was treated with the implantation of a greftstent into the previously implanted stent

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