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Barbukhatti K.O.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Belash S.A.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Shumkov D.I.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1

Sapunov V.A.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Porhanov V.A.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Stentectomy following percutaneous coronary intervention complicated by perforation of distal anastomosis after previous coronary artery bypass grafting

Authors:

Barbukhatti K.O., Belash S.A., Shumkov D.I., Sapunov V.A., Porhanov V.A.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(1): 109‑114

DOI: 10.17116/kardio202518011109

Read: 898 times

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Table of contents

STENTECTOMY FOLLOWING PERCUTANEOUS CORONARY INTERVENTION COMPLICATED BY PERFORATION OF DISTAL ANASTOMOSIS AFTER PREVIOUS CORONARY ARTERY BYPASS GRAFTING
STENTECTOMY FOLLOWING PERCUTANEOUS CORONARY INTERVENTION COMPLICATED BY PERFORATION OF DISTAL ANASTOMOSIS AFTER PREVIOUS CORONARY ARTERY BYPASS GRAFTING

To cite this article:

Barbukhatti KO, Belash SA, Shumkov DI, Sapunov VA, Porhanov VA. Stentectomy following percutaneous coronary intervention complicated by perforation of distal anastomosis after previous coronary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(1):109‑114. (In Russ.)
https://doi.org/10.17116/kardio202518011109

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The incidence of coronary artery perforations after stenting is 0.1—0.71%. Subsequent coronary artery bypass grafting for the treatment of complication is described in a few reports. This approach is characterized by high mortality due to cardiac tamponade and perioperative myocardial infarction. In this case, the patient underwent coronary artery bypass grafting of 3 coronary arteries. Thrombosis of venous graft to obtuse marginal artery occurred within several hours after surgery. This required percutaneous coronary intervention with stenting. However, coronary artery perforation near anastomosis with venous graft occurred immediately after stenting. In this article, we present successful emergency stentectomy followed by coronary artery bypass grafting of obtuse marginal artery.

Keywords:

coronary artery bypass grafting
venous graft thrombosis
stenting
stentectomy
coronary artery perforation
anastomosis rupture

Authors:

Barbukhatti K.O.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Belash S.A.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Shumkov D.I.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1

Sapunov V.A.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Porhanov V.A.

Research Institute — Ochapovskiy Regional Clinical Hospital No. 1;
Kuban State Medical University

Received:

03.10.2023

Accepted:

05.12.2023

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References:

  1. Krishnegowda C, Puttegowda B, Krishnappa S, et al. Incidence, clinical and angiographic characteristics, management and outcomes of coronary artery perforation at a high volume cardiac care center during percutaneous coronary intervention. Indian Heart J. 2020;72(4):232-238.  https://doi.org/10.1016/j.ihj.2020.07.012
  2. Al-Lamee R, Ielasi A, Latib A, et al. Incidence, predictors, management, immediate and long-term outcomes following grade III coronary perforation. JACC Cardiovasc Interv. 2011;4(1):87-95.  https://doi.org/10.1016/j.jcin.2010.08.026
  3. Janiec M, Nazari Shafti TZ, Dimberg A, et al. Graft failure and recurrence of symptoms after coronary artery bypass grafting [published correction appears in Scand Cardiovasc J. 2018 Jun;52(3):170]. Scand Cardiovasc J. 2018;52(3):113-119.  https://doi.org/10.1080/14017431.2018.1442930
  4. Caliskan E, de Souza DR, Böning A, et al. Saphenous vein grafts in contemporary coronary artery bypass graft surgery. Nat Rev Cardiol. 2020;17(3):155-169.  https://doi.org/10.1038/s41569-019-0249-3
  5. Alkhouli M, Alqahtani F, Kalra A, et al. Trends in Characteristics and Outcomes of Patients Undergoing Coronary Revascularization in the United States, 2003-2016 [published correction appears in JAMA Netw Open. 2020;3(4):e206536. https://doi.org/10.1001/jamanetworkopen.2019.21326
  6. Totsugawa T, Kuinose M, Yoshitaka H, et al. Surgical treatment for Ellis type 3 coronary perforation during percutaneous catheter intervention. Circ J. 2012;76(2):377-381.  https://doi.org/10.1253/circj.cj-11-0773
  7. Shimony A, Joseph L, Mottillo S, Eisenberg MJ. Coronary artery perforation during percutaneous coronary intervention: a systematic review and meta-analysis. Can J Cardiol. 2011;27(6):843-850.  https://doi.org/10.1016/j.cjca.2011.04.014
  8. Jentzer JC, Herrmann J, Prasad A, Barsness GW, Bell MR. Utility and Challenges of an Early Invasive Strategy in Patients Resuscitated From Out-of-Hospital Cardiac Arrest. JACC Cardiovasc Interv. 2019;12(8):697-708.  https://doi.org/10.1016/j.jcin.2019.01.245
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