Stent-Graft Treatment of Anterior Interventricular Artery Extravasation Type IIICS: a Clinical Case

Abstract

Background. Every percutaneous coronary intervention (PCI) is potentially causative of severe surgical accidents. Routine manipulations with catheters, guidewire, delivery systems or stents can damage vascular walls leading to immediate complications like extravasation. In interventional cardiology, ruptures occur in 0.19–0.93% of PCI cases. The endovascular surgeon is to immediately react in case of an accident and decide on further action to repair the coronary artery rupture.Materials and methods. The article describes a clinical case of a PCI complication, extravasation type IIICS, during a routine stenting of anterior interventricular artery. Stent­grafting at rapture was decided upon conclusive analysis of the situation.Results and discussion. A percutaneous coronary intervention, including routine surgery, potentially poses diverse complications. Extravasation is an expectable complication type. The endovascular surgeon must be sufficiently experienced to decide on an appropriate tactics. The outcome of stent­graft implantation was satisfactory.Conclusion. Stent­graft placement may be a method of choice in a PCI complication of surgery like extravasation type IIICS.

Keywords

• чрескожные коронарные вмешательства
• перфорация коронарной артерии
• экстравазация
• стент­графт
• коронарное стентирование
• эндоваскулярная хирургия
• осложнения