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Toshihiko Ueda
Shinichi Taguchi
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Kiyoshi Koizumi
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Ann Thorac Surg 2006;82:2312-2314
© 2006 The Society of Thoracic Surgeons

How To Do It

Teflon Felt Wrapping Repair for Coronary Perforation After Failed Angioplasty

Yoshito Inoue, MDa,*, Toshihiko Ueda, MDa, Shinichi Taguchi, MDa, Ichiro Kashima, MDa, Kiyoshi Koizumi, MDa, Shigetaka Noma, MDb

a Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Tochigi, Japan
b Department of Cardiology, Saiseikai Utsunomiya Hospital, Tochigi, Japan

Accepted for publication March 6, 2006.

* Address correspondence to Dr Inoue, Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hosp. 911-1 Takebayashi, Utsunomiya, Tochigi, 321-0974 Japan (Email: yosito_inoue{at}saimiya.com).

Acute type III perforation caused by failed angioplasty is a lethal complication that often requires emergency operation. However, the presence of multiple rigid stents beneath the subepicardial hematoma disturbs optimal revascularization and hemostasis. Teflon felt (Meadox Medical Inc, Oakland, NJ) wrapping repair is a simple salvage technique that allows stable hemostasis and the rescue of the entire blood flow of the coronary artery. This procedure was successfully performed with type III perforation of the left anterior descending coronary artery on 2 patients subjected to multiple stenting.






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