Preventing and treating coronary perforations: Lessons from disaster management.
Yader SandovalEmmanouil S BrilakisPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Coronary artery perforations (CAP) are rare in patients undergoing routine PCI with recent contemporary databases reporting an incidence ∼0.3%. Older age, cardiomyopathy or left ventricular dysfunction, mechanical circulatory support prior to PCI, and CTO lesions have the strongest association with CAP. Prevention, early detection, preparedness and familiarity with the equipment used to treat perforations (such as efficient use of covered stents, and fat or coil embolization) and regrouping to examine and educate about these experiences are key for improving our response to cath lab disasters.
Keyphrases
- coronary artery
- coronary artery disease
- acute myocardial infarction
- patients undergoing
- left ventricular
- percutaneous coronary intervention
- acute coronary syndrome
- pulmonary artery
- heart failure
- antiplatelet therapy
- st elevation myocardial infarction
- st segment elevation myocardial infarction
- public health
- adipose tissue
- atrial fibrillation
- mental health
- aortic stenosis
- risk factors
- oxidative stress
- physical activity
- clinical practice
- emergency department
- mitral valve
- middle aged
- hypertrophic cardiomyopathy
- extracorporeal membrane oxygenation
- cardiac resynchronization therapy
- adverse drug
- machine learning
- infectious diseases
- artificial intelligence
- pulmonary hypertension
- deep learning