ArticleJACC. Case reports2025
Complex Treatment of a Coronary Bifurcation Perforation With a Dual-Covered Stent Strategy.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Treatment of Coronary Perforation in a Bifurcation: Two-Stent Strategies With Fenestrated Covered Stents.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026Review
- A practical approach to the management of percutaneous coronary intervention complications.Frontiers in cardiovascular medicine · 2026Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerforation of a major epicardial coronary artery during percutaneous coronary interventions (PCIs) is potentially lethal. SUMMARY: Here the authors present a novel treatment strategy for managing a perforation in the bifurcation core with a complex 2-stent technique using polyurethane-covered stents. Specialized equipment for chronic total occlusion (CTO) interventions was used for recanalization of the main vessel and side branch. The procedure was tested in a bench setting and validated using 3-dimensional optical coherence tomography and micro-computed tomography. DISCUSSION: The case emphasizes the need for complex CTO-PCI techniques in the treatment of acute non-CTO PCI. NOVELTY: To the best of our knowledge, this is the first report of a complex bifurcation technique for treatment of an epicardial perforation. TAKE-HOME MESSAGE: It is feasible to treat an epicardial perforation in the bifurcation core with an advanced 2-stent technique. Ex vivo training for rare and severe complications may improve procedural outcome.
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Registered trials
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