Abstract
The study reviewed the outcomes of patients treated with covered stent for coronary artery perforation (CAP). CAP is an infrequent and life threatening complication of percutaneous coronary intervention. It can result in abrupt vessel closure, acute iatrogenic pericardial effusion, cardiac tamponade and death if not recognized and managed promptly. Placement of coronary stent graft is the cornerstone of management of CAP. Coronary stent graft is a humanitarian device, authorized by federal law for use in the treatment of perforation in a vessel ≥ 2.75 mm in diameter causing free contrast extravasation into the pericardium. The use of this device is associated with a risk of acute and subacute thrombosis. We report five cases of CAP that were effectively treated with either coronary stent grafts or prolonged balloon inflation with two of them subsequently developing stent graft thrombosis and literature review on efficacy and safety of stent grafts.
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