1. Coronary perforation with cardiac tamponade – Bailed out with the covered stent 
Himanshu Mahla, Rangaraj Ramalingam, Shivanand Patil, Kasam S. Subramanyam, Cholenahally N. Manjunath 
Journal of Indian College of Cardiology 
Volume 4, Issue 3, Pages (September 2014)
DOI: /j.jicc
Copyright © 2014 Indian College of Cardiology Terms and Conditions

2. Fig. 1
Cine images demonstrating coronary perforation and various steps in its management. A: Left coronary angiogram in RAO-cranial projection showed a diffuse long segment 90% stenosis in mid LAD artery. B: A 2.75 × 32 mm DES was deployed at 12-atm in the mid LAD. C: Check angiogram after post-dilatation of the stent showed Ellis type III perforation at distal end of the stented segment with extravasation (C – white arrow) of dye. D: Bed-side transthoracic echocardiogram revealed a moderate pericardial effusion with cardiac tamponade. E: After failed attempt, a 3.0 × 20 mm covered stent (black arrows) was deployed at 14-atm over the perforation site. F: Check angiogram in RAO-cranial projection showed successful sealing of the perforation with distal TIMI III flow. RAO: right anterior oblique; LAD: left anterior descending; DES: drug eluting stent.
Journal of Indian College of Cardiology 2014 4, DOI: ( /j.jicc )
Copyright © 2014 Indian College of Cardiology Terms and Conditions