6533b7d8fe1ef96bd12699cd

RESEARCH PRODUCT

Management of Coronary Artery Perforation

Ahmed AbdalwahabAlfredo R. GalassiMohaned EgredMohaned EgredEmmanouil S. BrilakisMohamed Farag

subject

medicine.medical_specialtyCoronary artery perforationmedicine.medical_treatmentPerforation (oil well)Coronary Artery DiseaseCoil030204 cardiovascular system & hematologyCoronary AngiographyCovered stentCalcificationPercutaneous coronary interventionAtherectomyAnticoagulation03 medical and health sciencesPericardial tamponade0302 clinical medicineHumansMedicine030212 general & internal medicineEmbolizationCoronary Artery Perforationbusiness.industryPercutaneous coronary interventionGeneral Medicinemedicine.diseaseCoronary VesselsSurgeryTreatment OutcomeHeart InjuriesConventional PCIStentsCardiology and Cardiovascular MedicinebusinessComplicationCalcification

description

Coronary artery perforation (CAP) is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI), however if recognized and managed promptly, its adverse consequences can be minimized. Risk factors for CAP include the use of advanced PCI technique (such as atherectomy and chronic total occlusion interventions) and treatment of severely calcified lesions. There are 3 major types of CAP depending on location: (a) large vessel perforation, (b) distal vessel perforation, and (c) collateral perforation. Large vessel perforation is usually treated with implantation of a covered stent, whereas distal and collateral vessel perforations are usually treated with coil or fat embolization. In this article we provide a state-of-the-art overview of the contemporary management of CAP.

yearjournalcountryeditionlanguage
2020-10-26Cardiovascular Revascularization Medicine
https://doi.org/10.1016/j.carrev.2020.11.013