ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025
Coronary Artery Fistulous Perforation Effectively Managed During Chronic Total Occlusion Recanalization: A Case Report.
Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Coronary Artery Fistulous Perforation Effectively Managed During Chronic Total Occlusion Recanalization: A Case Report.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundCoronary perforation is a feared complication of chronic total occlusion-percutaneous coronary intervention (CTO-PCI), especially in large vessel perforations, which often require implantation of covered stents (CS). However, the deployment of multiple CSs may not always be effective. Therefore, identifying the underlying formation mechanism and providing feasible solutions are very meaningful. CASE PRESENTATION: This case presented an Ellis II grade perforation during the mid-left anterior descending (LAD) artery segment during LAD CTO recanalization. Three CS were implanted around the perforation site. However, continuous extravasation persisted even after adequate post-dilation for CS. After identifying the potential fistulous perforation inlet, one drug-eluting stent (DES) was deployed from the distal left main trunk (LMT) to the proximal LAD to successfully seal the fistulous inlet and effectively resolve the effusion.
conclusionPrecisely identifying the existing fistulous perforation and sealing its inlet can effectively reduce the need for deployment of CS.
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