Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides

Year 2018, , 210 - 214, 13.11.2018

Ali Çoner , Davran Çiçek , Sinan Akıncı , Tonguç Saba Haldun Müderrisoğlu

https://doi.org/10.30565/medalanya.421746

Abstract

Advancements in coronary stent technology encourage
interventional Cardiologists in performing more complex, percutaneous
interventions. Coronary perforation is a lethal complication of percutaneous
coronary artery interventions and should be managed within seconds to minutes.
Despite technological advancements, coronary perforation incidence has not
declined over the years. This consistent incidence of coronary perforation may
be related to increased number of complex, percutaneous coronary artery
interventions. Covered stent implantation is a life-saving solution during the
course of this emergent complication but also carries its own short and long
term risks in the follow-up of these patients. Herein this report, we aimed to
present a successful management of a case of coronary perforation by covered
stent implantation but complicated during in-hospital period in the following
days.

Keywords

Covered Stent Thrombosis, Pericardial Bleeding, Complication

Kaplı Stent Trombozu Sonrası Perikardiyal Kanama: İki Ucu Keskin Bıçak

Abstract

Koroner
stent alanındaki teknolojik gelişmeler girişimsel Kardiyologları daha kompleks
perkütan girişimler gerçekleştirme konusunda cesaretlendirmektedir. Koroner
perforasyon perkütan koroner arter girişimleri esnasında görülebilen ölümcül
bir komplikasyondur ve saniyeler veya dakikalar içerisinde müdahale
edilmelidir. Geçen yıllar içerisinde teknolojik gelişmeler olmasına karşın
koroner perforasyon sıklığı azalmamıştır. Koroner perforasyon sıklığında azalma
olmamasının kompleks, perkütan koroner arter girişimlerinde artış görülmesiyle
ilişkisi olabilir. Kaplı stent implantasyonu acilen müdahale edilmesi gereken
bu komplikasyonun seyri sırasında hayat kurtarıcı bir çözümdür ancak bu
hastaların takiplerinde, kısa ve uzun dönemde kendine özgü riskler oluşturmaktadır.
Bu yazıda, kaplı stent implantasyonu ile başarılı müdahale yapılan ancak takip
eden günlerde hastane içi dönemde komplikasyon yaşadığımız bir koroner
perforasyon vakasının sunummayı amaçladık.    

Keywords

Kaplı stent trombozu, Perikardiyal kanama, Komplikasyon

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