The case of a coronary artery perforation in which overinflation of a balloon at an angulated segment of the left anterior descending (LAD) artery after stent deployment resulted in an Ellis type III coronary artery perforation is presented. A bare metal stent (BMS) was used successfully to seal this high-grade perforation. Here, it is demonstrated that it may not be illogical to consider BMS as the first choice before embarking on use of a covered stent if the clinical/haemodynamic condition of the patient allows it and if a covered stent is not available.
BMJ Case Reports
(2010). A simpler approach to seal severe coronary perforation with bare metal stent. BMJ Case Reports, 2010.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_med_cardiol/57
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