Greft Stent Implantation for Coronary Artery Perforation After Percutaneous Coronary Intervention

Coronary artery perforation is a rare, but life-threatening complication of percutaneous coronary interventions (PCI). The occurrence of perforation increased with newer interventional devices and techniques like rotablation, excimer laser coronary angioplasty, and routine high pressure balloon dilatation or chronic total occlusion interventions. We describe a case of unexpected Ellis stage 3 perforation following “routine” direct stenting of left anterior descending coronary artery (LAD) stenosis. The perforation was successfully sealed by a polytetrafluoroethylene-covered stent graft. In addition to the availability of covered stents, it is essential to be familiar with various skills necessary for successful management of these complications.