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Novel treatment (new drug/intervention; established drug/procedure in new situation)
A simpler approach to seal severe coronary perforation with bare metal stent
  1. Sajid Dhakam1,
  2. Nasir Rahman2
  1. 1Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan
  2. 2Aga Khan University Hospital, Karachi, Pakistan
  1. Correspondence to Sajid Dhakam, sajid.dhakam{at}


The case of a coronary artery perforation in which overinflation of a balloon at an angulated segment of the left anterior descending (LAD) artery after stent deployment resulted in an Ellis type III coronary artery perforation is presented. A bare metal stent (BMS) was used successfully to seal this high-grade perforation. Here, it is demonstrated that it may not be illogical to consider BMS as the first choice before embarking on use of a covered stent if the clinical/haemodynamic condition of the patient allows it and if a covered stent is not available.

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  • Competing interests None.

  • Patient consent Obtained.

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