Efficacy of Simultaneous Kissing Stent Technique Using Two Polytetrafluoroethylene-Covered Stents for Severe Coronary Perforation Involving Bifurcation

2018 ◽  
Vol 34 (12) ◽  
pp. 1689.e1-1689.e2 ◽  
Author(s):  
Ruka Yoshida ◽  
Kensuke Takagi ◽  
Yasuhiro Morita ◽  
Itsuro Morishima
2021 ◽  
pp. 000313482110488
Author(s):  
Anthony L. Grzeda ◽  
Marcus D. Moseley ◽  
Daisy Sangroula ◽  
Erik J. Wayne ◽  
Amit J. Dwivedi ◽  
...  

Major injury of the innominate artery is traditionally treated with an open repair which is technically challenging, associated with large volumes of blood loss and prolonged operative times. Endovascular treatment with covered stent placement across the injury is an attractive alternative. However, placement of a single covered stent across the innominate artery bifurcation into one of its distal branches will not prevent bleeding because of retrograde perfusion from the unstented branch distal to the bifurcation. Here, we report a case of successful endovascular repair of one such injury involving the innominate artery bifurcation with ongoing extravasation into the mediastinum. The injury was successfully treated by utilizing 2 balloon-expandable covered stents placed in kissing fashion from the innominate artery into both of its distal branches. This technique of parallel covered stent placement across a bifurcation could effectively repair bifurcation injuries while maintaining patency of both distal branches.


2015 ◽  
Vol 42 (4) ◽  
pp. 397-399 ◽  
Author(s):  
Gabriele Crimi ◽  
Davide Bartolini ◽  
Sandro Bellotti ◽  
Alessandro Iannone ◽  
Paolo Rubartelli

A 63-year-old man was admitted with a clinical diagnosis of acute coronary syndrome (non-ST-segment elevation), characterized by regional hypokinesia of the left ventricular posterior and lateral walls and by positive cardiac biomarkers. The coronary angiogram showed a 12.5-mm-diameter aneurysm with a mural thrombus and possible distal embolism to the bifurcation of the left circumflex coronary artery and the 2nd marginal branch. The aneurysm was managed percutaneously by implanting 2 mesh-covered stents in accordance with the “simultaneous kissing stent” technique. Follow-up angiography and optical coherence tomography at 5 postprocedural months documented complete sealing of the aneurysm and diffuse in-stent restenosis. No sign of ischemia occurred during the subsequent follow-up.


2015 ◽  
Vol 29 (3) ◽  
pp. 543-550 ◽  
Author(s):  
Raffaele Pulli ◽  
Walter Dorigo ◽  
Aaron Fargion ◽  
Domenico Angiletta ◽  
Leonidas Azas ◽  
...  

2004 ◽  
Vol 43 (5) ◽  
pp. A96
Author(s):  
Samin K Sharma ◽  
Angelica M Steinheimer ◽  
Marybeth Duffy ◽  
Johnny Lee ◽  
Michael C Kim ◽  
...  

2013 ◽  
Vol 26 (2) ◽  
pp. 145-152 ◽  
Author(s):  
ASIM N. CHEEMA ◽  
SANJIT S. JOLLY ◽  
JASON M. BURSTEIN ◽  
WASEEM SHARIEFF ◽  
ATIF MOHAMMAD ◽  
...  

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