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Cardiovascular Intervention and Therapeutics

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01-01-2015 | Case Report

Successful recanalization of a left circumflex artery jailed with a polytetrafluoroethylene-covered stent after coronary perforation during stent implantation in the left main bifurcation

Authors: Norimasa Taniguchi, Akihiko Takahashi, Yukio Mizuguchi, Takeshi Yamada, Tetsuya Hata, Shunsuke Nakajima

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2015

Abstract

An 88-year-old woman underwent emergency percutaneous coronary intervention (PCI) to treat circulatory collapse with severe stenosis in the distal left main coronary artery (LMCA). After 3.5/18-mm stent deployment from the LMCA to the left anterior descending artery (LAD), coronary perforation occurred in the LAD ostium. Therefore, we implanted a polytetrafluoroethylene (PTFE)-covered stent crossing over the left circumflex artery (LCX), and achieved successful hemostasis. Additional PCI was undertaken to recanalize the LCX. A Confienza 8–20 guidewire was able to penetrate the wall of the PTFE-covered stent, and coronary flow was successfully recovered after deployment of a 2.5/8-mm stent in the proximal LCX.

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Title: Successful recanalization of a left circumflex artery jailed with a polytetrafluoroethylene-covered stent after coronary perforation during stent implantation in the left main bifurcation
Authors: Norimasa Taniguchi
Akihiko Takahashi
Yukio Mizuguchi
Takeshi Yamada
Tetsuya Hata
Shunsuke Nakajima
Publication date: 01-01-2015
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 1/2015
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-014-0254-8

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Successful recanalization of a left circumflex artery jailed with a polytetrafluoroethylene-covered stent after coronary perforation during stent implantation in the left main bifurcation

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