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Treatment with the double guiding catheter technique for type III coronary perforation

Coronary perforation is a rare complication of percutaneous coronary intervention and is potentially catastrophic. Coronary perforation may lead to pericardial effusion with or without cardiac tamponade and if not diagnosed early on and treated properly it is life-threatening. We present a case of percutaneous coronary intervention complicated by coronary perforation, which was quickly treated by the reversal of anticoagulation, prolonged balloon inflation and a covered-stent, using the double guiding catheter technique.

Percutaneous coronary intervention; Stents; Cardiac catheters


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