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

AKINCI, Sinan; MUDERRİSOGLU, IBRAHIM HALDUN; SABA, Tonguç; ÇİÇEK, Davran; Çoner, Ali

doi:10.30565/ medalanya.421746

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

Ali ÇONER, (Başkent Üniversitesi, Alanya Eğitim ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Alanya, Türkiye)

Davran ÇİÇEK, (Başkent Üniversitesi, Alanya Eğitim ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Alanya, Türkiye)

Sinan AKINCI, (Başkent Üniversitesi, Alanya Eğitim ve Araştırma Merkezi, Kardiyoloji Anabilim Dalı, Alanya, Türkiye)

Tonguç SABA, (Başkent Üniversitesi, Kalp ve Damar Cerrahisi Kliniği, Eğitim ve Araştırma Merkezi, Alanya, Türkiye)

Haldun MÜDERRİSOĞLU (Başkent Üniversitesi Hastanesi, Kardiyoloji Kliniği, Ankara, Türkiye)

Acta Medica Alanya

3 1

Yıl: 2018 Cilt: 2 Sayı: 3 Sayfa Aralığı: 210 - 214 Metin Dili: İngilizce DOI: 10.30565/ medalanya.421746 İndeks Tarihi: 31-10-2020

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

Öz:

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

Anahtar Kelime:

Kaplı Stent Trombozu Sonrası Perikardiyal Kanama: İki Ucu Keskin Bıçak

Öz:

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 sunmayı amaçladık.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Gruberg L, Pinnow E, Flood R, Bonnet Y, Tebeica M, Waksman R, et al. Incidence, management and outcome of coronary artery perforation during percutaneous coronary intervention. Am J Cardiol. 2000; 86: 680-2.
2. Hendry C, Fraser D, Eichhofer J, Mamas MA, Fath-Ordoubadi F, El-Omar M, et al. Coronary perforation in the drug-eluting stent era: incidence, risk factors, management and outcome: the UK experience. Eurointervention. 2012; 15: 79-86.
3. Parsh J, Seth M, Green J, Sutton NR, Chetcuti S, Dixon S, et al. Coronary artery perforations after contemporary percutaneous coronary interventions: evaluation of incidence, risk factors, outcomes and predictors of mortality. Catheter Cardiovasc Interv. 2017; 89: 966-73.
4. Ellis SG, Ajluni S, Arnold AZ, Popma JJ, Bittl JA, Eigler NL, et al. Increased coronary perforation in the new device era. Incidence, classification, management and outcome. Circulation. 1994; 90: 2725-30.
5. Karaman K, Karayakalı M, Arısoy A, Akar İ, Çelik A. A late complication of coronary artery perforation during primary percutaneous coronary intervention: Coronary arteriovenous fistula. Turk Kardiyol Dern Ars. 2017; 45: 739-43.
6. Lee MS, Shamouelian A, Dahodwala MQ. Coronary artery perforation following percutaneous coronary intervention. J Invasive Cardiology. 2016; 28: 122-31.
7. Al-Lamee R, Ielasi A, Latib A, Godino C, Ferraro M, Mussardo M, et al. Incidence, predictors, management, immediate and long-term outcomes following grade III coronary perforation. JACC Cardiovasc Interv. 2011; 4: 87-95.
8. Kawamoto H, Tanaka K, Ruparelia N, Takagi K, Yabushita H, Watanabe Y, et al. Shortterm and long-term outcomes after polytetrafluoroethylene-covered stent implantation for treatment of coronary perforation. Am J Cardiol. 2015; 116: 1822-6.
9. Lee WC, Hsueh SK, Fang CY, Wu CJ, Hang CL, Fang HY. Clinical outcomes following covered stent for the treatment of coronary artery perforation. J Interv Cardiol. 2016; 29: 569-75.
10. Wang HJ, Lin JJ, Lo WY, Chang CP, Hsu CH, Hsieh LJ, et al. Clinical outcomes of polytetrafluoroethylene-covered stents for coronary artery perforation in elderly patients undergoing percutaneous coronary interventions. Acta Cardiol Sin. 2017; 33: 605-13.
11. Eeckhout E, De Palma R. Coronary perforation: an inconvenient complication. JACC Cardiovasc Interv. 2011; 4: 96-7.
12. Copeland KA, Hopkins JT, Weintraub WS, Rahman E. Long-term follow-up of polytetrafluoroethylene-covered stents implanted during percutaneous coronary intervention for management acute coronary perforation. Catheter Cardiovasc Interv. 2012; 80: 53-7.
13. Kolek M. Effusive-constrictive pericarditis post surgical revision for iatrogenic hemo-pericardium. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2011;155:71-4.
14. Shimony A, Joseph L, Mottillo S, Eisenberg MJ. Coronary artery perforation during percutaneous coronary intervention: a systematic review and meta-analysis. Can J Cardiol. 2011; 27: 843-50.
15. Stathopoulos I, Kossidas K, Panagopoulos G, Garratt K. Cardiac tamponade complicating coronary perforation during angioplasty: short-term outcomes and long-term survival. J Invasive Cardiol. 2013; 25: 486-91.
16. Fejka M, Dixon SR, Safian RD, O’Neill WW, Grines CL, Finta B, et al. Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol. 2002; 90: 1183-6.
17. Huang CM, Chen LW, Huang SH, Huang SS, Wang KL, Chiang CE. Acute left ventricular rupture following posterior wall myocardial infarction. Intern Med. 2010; 49: 1387-90.
18. Lin HH, Lai WL, Li PC, Li ML. Aortic perforation as a complication of percutaneous coronary angiography. Formos J Surg. 2011; 44: 225-7.

APA	Çoner A, ÇİÇEK D, AKINCI S, SABA T, MUDERRİSOGLU I (2018). Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. , 210 - 214. 10.30565/ medalanya.421746
Chicago	Çoner Ali,ÇİÇEK Davran,AKINCI Sinan,SABA Tonguç,MUDERRİSOGLU IBRAHIM HALDUN Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. (2018): 210 - 214. 10.30565/ medalanya.421746
MLA	Çoner Ali,ÇİÇEK Davran,AKINCI Sinan,SABA Tonguç,MUDERRİSOGLU IBRAHIM HALDUN Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. , 2018, ss.210 - 214. 10.30565/ medalanya.421746
AMA	Çoner A,ÇİÇEK D,AKINCI S,SABA T,MUDERRİSOGLU I Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. . 2018; 210 - 214. 10.30565/ medalanya.421746
Vancouver	Çoner A,ÇİÇEK D,AKINCI S,SABA T,MUDERRİSOGLU I Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. . 2018; 210 - 214. 10.30565/ medalanya.421746
IEEE	Çoner A,ÇİÇEK D,AKINCI S,SABA T,MUDERRİSOGLU I "Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides." , ss.210 - 214, 2018. 10.30565/ medalanya.421746
ISNAD	Çoner, Ali vd. "Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides". (2018), 210-214. https://doi.org/10.30565/ medalanya.421746

APA	Çoner A, ÇİÇEK D, AKINCI S, SABA T, MUDERRİSOGLU I (2018). Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. Acta Medica Alanya, 2(3), 210 - 214. 10.30565/ medalanya.421746
Chicago	Çoner Ali,ÇİÇEK Davran,AKINCI Sinan,SABA Tonguç,MUDERRİSOGLU IBRAHIM HALDUN Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. Acta Medica Alanya 2, no.3 (2018): 210 - 214. 10.30565/ medalanya.421746
MLA	Çoner Ali,ÇİÇEK Davran,AKINCI Sinan,SABA Tonguç,MUDERRİSOGLU IBRAHIM HALDUN Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. Acta Medica Alanya, vol.2, no.3, 2018, ss.210 - 214. 10.30565/ medalanya.421746
AMA	Çoner A,ÇİÇEK D,AKINCI S,SABA T,MUDERRİSOGLU I Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. Acta Medica Alanya. 2018; 2(3): 210 - 214. 10.30565/ medalanya.421746
Vancouver	Çoner A,ÇİÇEK D,AKINCI S,SABA T,MUDERRİSOGLU I Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides. Acta Medica Alanya. 2018; 2(3): 210 - 214. 10.30565/ medalanya.421746
IEEE	Çoner A,ÇİÇEK D,AKINCI S,SABA T,MUDERRİSOGLU I "Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides." Acta Medica Alanya, 2, ss.210 - 214, 2018. 10.30565/ medalanya.421746
ISNAD	Çoner, Ali vd. "Pericardial Bleeding Following Covered Stent Thrombosis: Sharp Blade on Both Sides". Acta Medica Alanya 2/3 (2018), 210-214. https://doi.org/10.30565/ medalanya.421746