{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T12:02:28Z","timestamp":1784721748073,"version":"3.55.0"},"reference-count":7,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Large vessel perforation during coronary intervention is a rare but potentially fatal complication, often requiring implantation of a covered stent for resolution. While technology is improving, the long\u2010term patency of covered stents is less than drug\u2010eluting stents, and implantation of covered stents should be used sparingly. Large vessel perforations are complex and often the perforation inflow is not located at the site of extravasation seen on angiography. This can lead to geographic miss when implanting covered stents and necessitate the implantation of additional covered stents which increases the risk for short\u2010 and long\u2010term complications. We present a case series to further investigate the anatomy and mechanism of large vessel perforations and guidance on effective covered stent implantation.<\/jats:p>","DOI":"10.1002\/ccd.30989","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T08:29:31Z","timestamp":1710232171000},"page":"570-579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding large vessel perforation requiring treatment with covered stent implantation: A case series"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8921-7483","authenticated-orcid":false,"given":"Kara","family":"Denby","sequence":"first","affiliation":[{"name":"Department of Cardiology Saint Alphonsus Medical Group Boise Idaho USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2692-0054","authenticated-orcid":false,"given":"Myron","family":"Zaczkiewicz","sequence":"additional","affiliation":[{"name":"Heart Center Lahr, Internal Medicine and Cardiology Lahr Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukriti","family":"Banthiya","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Ascension Providence Hospital Southfield Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kambis","family":"Mashayekhi","sequence":"additional","affiliation":[{"name":"Heart Center Lahr, Internal Medicine and Cardiology Lahr Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaikirshan","family":"Khatri","sequence":"additional","affiliation":[{"name":"Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.007049"},{"issue":"8","key":"e_1_2_7_3_1","article-title":"Iatrogenic arterial perforation during endovascular interventions","volume":"12","author":"Rizk T","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.07.010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.90.6.2725"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2022-002076"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/1995-705X.86017"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2022.04.009"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30989","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T11:41:12Z","timestamp":1757936472000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30989"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/ccd.30989"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30989","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-11-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}