Department of Cardiology, Istanbul Medicine Hospital, Istanbul, Turkey.
Kardiol Pol. 2011;69(2):183-6; discussion 187.
Coronary artery perforation is a rare and dangerous complication of percutaneous coronary intervention. Its consequences may range from minimal dye staining of the pericardial cavity to haemodynamic collapse, and it requires urgent treatment. Nearly half of cases occur due to the use of stiff and hydrophilic guidewires. Perforations due to stent deployment or strut rupture are seen more rarely, but have a more serious prognosis. We present a case of coronary perforation due to rupture of a sirolimus-eluting stent's strut. The perforated site was occluded immediately with the implantion of two consecutive bare metal stents.
冠状动脉穿孔是经皮冠状动脉介入治疗的一种罕见且危险的并发症。其后果可能从心包腔轻微染料染色到血流动力学崩溃不等，需要紧急治疗。近一半的病例是由于使用硬而亲水的导丝引起的。支架部署或支架断裂引起的穿孔则较为少见，但预后更严重。我们报告了一例因西罗莫司洗脱支架的支架断裂导致的冠状动脉穿孔。通过植入两个连续的裸金属支架，穿孔部位立即被闭塞。
