Coronary Perforation in a Patient with ST Elevation Myocardial Infarction Treated by Stent Graft Implantation Using the Double Guide Catheter (Ping Pong) Technique

Abstract

Introduction: Coronary perforation can occur as a complication of Percutaneous Coronary Intervention (PCI) even in the contemporary era of new tools and techniques. Severe proximal perforation can potentially be lethal if not diagnosed or left untreated. This dreaded complication can occur due to the mismatch between the balloon and vessel size. However, it may happen with an appropriately sized balloon or stent in case of eccentric coronary calcification or negative vessel remodeling. The current study aimed to present a case of severe type III perforation, which was managed successfully using the double guide catheter technique for stent graft implantation.