Hope for the best, prepare for the worst: How to manage coronary perforations.
Bimmer E P M ClaessenRoxana MehranPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
The incidence of coronary perforation in a contemporary cohort of 13,339 PCI procedures was 0.51%. The majority (75%) were large-vessel perforations Although only 1 patient required emergency cardiac surgery, in-hospital mortality was high (10%) Given the infrequent occurrence of coronary perforations, uniform recommendations for its management are lacking. Nonetheless, the present study suggests that avoiding oversized balloons or stents might potentially reduce the incidence of perforations.
Keyphrases
- coronary artery disease
- coronary artery
- cardiac surgery
- risk factors
- percutaneous coronary intervention
- emergency department
- aortic stenosis
- healthcare
- public health
- risk assessment
- acute kidney injury
- coronary artery bypass grafting
- case report
- acute coronary syndrome
- clinical practice
- st segment elevation myocardial infarction
- aortic valve
- left ventricular
- ejection fraction
- transcatheter aortic valve replacement
- coronary artery bypass