Coronary Artery Perforation After Balloon Dilatation for Recurrent In-Stent Restenosis Inside the Double-Layered Previous Stents

Daichi Yamashita; Hideki Kitahara; Yuichi Saito; Ken Kato; Yoshio Kobayashi

doi:10.1016/j.jaccas.2023.101976

Coronary Artery Perforation After Balloon Dilatation for Recurrent In-Stent Restenosis Inside the Double-Layered Previous Stents

JACC Case Rep. 2023 Aug 5:21:101976. doi: 10.1016/j.jaccas.2023.101976. eCollection 2023 Sep 6.

Authors

Daichi Yamashita¹, Hideki Kitahara¹, Yuichi Saito¹, Ken Kato¹, Yoshio Kobayashi¹

Affiliation

¹ Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.

Abstract

Although coronary artery perforation can be a fatal complication during percutaneous coronary intervention, it is rarely observed in in-stent restenotic lesions. We present a case with coronary artery perforation after balloon dilatation for a recurrent in-stent restenotic lesion with calcified nodule inside the double-layered stents that were previously implanted. (Level of Difficulty: Advanced.).

Keywords: calcified nodule; coronary artery perforation; in-stent restenosis.