ArticleJACC. Case reports2025
When 3 Fundamentals of Disaster Meet During Elective PCI.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
The disaster risk is probabilistically defined as a function of hazard, vulnerability, and capacity. Here, we report a case of a vulnerable patient who underwent elective percutaneous coronary intervention for symptomatic ischemic heart disease in whom a series of 5 percutaneous coronary intervention-related hazards occurred: distal coronary perforation; ischemia-driven electrical storm; no reflow; coronary vessel rupture; and stent dislodgement. These complications were managed using several interventional techniques including immediate balloon occlusion, distal vessel coiling, drug-eluting stent implantation, recovery of a dislodged drug-eluting stent on the fractured wire using a self-made snare and finally crushing of a stent graft against the vessel wall. Despite these efforts, prolonged resuscitation and limited patient-related capacities were unfavorable and the patient died due to cardiogenic shock.
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