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BMJ Case Rep. 2010; 2010: bcr0620091954.
Published online 2010 November 29. doi:  10.1136/bcr.06.2009.1954
PMCID: PMC3038032
Novel treatment (new drug/intervention; established drug/procedure in new situation)

A simpler approach to seal severe coronary perforation with bare metal stent


The case of a coronary artery perforation in which overinflation of a balloon at an angulated segment of the left anterior descending (LAD) artery after stent deployment resulted in an Ellis type III coronary artery perforation is presented. A bare metal stent (BMS) was used successfully to seal this high-grade perforation. Here, it is demonstrated that it may not be illogical to consider BMS as the first choice before embarking on use of a covered stent if the clinical/haemodynamic condition of the patient allows it and if a covered stent is not available.

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