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Kowsar Corporation, Research in Cardiovascular Medicine, 2(5), p. 4, 2016

DOI: 10.5812/cardiovascmed.31388

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Double Guide Catheter Technique for Sealing an Iatrogenic Coronary Perforation

Journal article published in 2016 by Miguel Rodriguez-Santamarta, Armando Perez de Prado, Rodrigo Estevez-Loureiro ORCID, Carlos Cuellas, Tomas Benito-Gonzalez ORCID, Armando Perez de Prado ORCID, Maria Lopez-Benito, Felipe Fernandez-Vazquez
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Introduction Coronary vessel perforation is one of the most feared complications of coronary angioplasty. The treatment of this complication relies mostly on the implantation of covered stents. However, due to their design, covered stents are difficult to advance in a tortuous or calcified vessel. Case Presentation We present a case of a grade III coronary perforation in which the double guiding catheter technique helped us to deliver the graft stent. Conclusions The double-guiding technique is useful in emergency situations to increase the safety and efficacy of sealing a coronary perforation.