A coronary artery perforation during percutaneous coronary intervention is an uncommon (0.43%) but potentially severe event, with high risk of cardiac tamponade and death. Severe perforations require placing a covered stent, which is often unavailable. We describe an alternative and simple treatment technique, which can be performed using polytetrafluoroethylene from a balloon tied over a coronary stent.
Coronary perforation during percutaneous coronary intervention: description of a salvage technique
Rios,Davi Muzi and Lima,Priscila Cabral Gomes Coelho and Rolim,Vitor Martinelli Batista and Serpa,Renato Giestas and Barbosa,Luiz Fernando Machado and Barbosa,Roberto Ramos. Coronary perforation during percutaneous coronary intervention: description of a salvage technique. J Transcat Intervent [online]. 2023, vol.31, [cited 2026-03-06], Available from: <https://jotci.org/article/coronary-perforation-during-percutaneous-coronary-intervention-description-of-a-salvage-technique/>. ISSN . .
Rios,Davi Muzi; Lima,Priscila Cabral Gomes Coelho; Rolim,Vitor Martinelli Batista; Serpa,Renato Giestas; Barbosa,Luiz Fernando Machado; Barbosa,Roberto Ramos. Coronary perforation during percutaneous coronary intervention: description of a salvage technique. J Transcat Intervent, v.31, Feb. 2023. Available from: <https://jotci.org/article/coronary-perforation-during-percutaneous-coronary-intervention-description-of-a-salvage-technique/>. acess on 06 Mar. 2026. .
Rios,Davi Muzi, & Lima,Priscila Cabral Gomes Coelho, & Rolim,Vitor Martinelli Batista, & Serpa,Renato Giestas, & Barbosa,Luiz Fernando Machado, & Barbosa,Roberto Ramos. (2023). Coronary perforation during percutaneous coronary intervention: description of a salvage technique. J Transcat Intervent, 31, .
RiosDavi Muzi, LimaPriscila Cabral Gomes Coelho, RolimVitor Martinelli Batista, SerpaRenato Giestas, BarbosaLuiz Fernando Machado, BarbosaRoberto Ramos. Coronary perforation during percutaneous coronary intervention: description of a salvage technique. J Transcat Intervent [Internet]. 2023 Feb [cited 2026 Mar 06]; 31: Available from: https://jotci.org/article/coronary-perforation-during-percutaneous-coronary-intervention-description-of-a-salvage-technique/. .
Figure 1
(A) Diffuse atherosclerotic lesion in the left anterior descending artery. (B) Pre-dilation of the left anterior descending artery.