🩺 Follow-Up | Case Solved: Type III LAD Perforation Successfully Managed
In continuation of my earlier post discussing a critical complication — a Type III LAD perforation during CTO PCI — here’s how we navigated through the storm and turned crisis into control:
🛠️ Final Strategy That Saved the Patient:
🔸 Balloon tamponade with a Drug-Eluting Balloon (DEB)
🔸 Simultaneously, floppy wire parked into the major Diagonal branch
🔸 On DEB deflation, a GraftMaster stent was immediately positioned from LAD to Diagonal
🔸 Inflation performed to seal the perforation and block LAD flow
🔸 Final left injection showed:
✅ No contrast extravasation
✅ No pericardial effusion on echocardiography
✅ Patient stabilized. Perforation sealed. Life saved.
💡 The key: controlled steps, calm decision-making, and teamwork under pressure.
🧠 Why Share This?
Because sharing complications isn't about exposing flaws—
It’s about teaching others how to act when the unexpected strikes.
Every shared experience is a tool in someone else’s emergency toolkit.
🙏 With patience, grace, and God's help — this patient walked out safely.
Let’s keep learning, and keep saving.
“In the Cath Lab, not every wire goes as planned—but every complication holds a lesson. Facing it with calm, courage, and clarity can turn disaster into deliverance. With grace, grit, and God’s hand—I saved a life, and gained wisdom no textbook could teach. Sharing such moments isn’t weakness—it’s courage. Because every complication shared is a lesson passed on, so others can learn, act, and save lives too.”
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