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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Incidence, management, and outcome of coronary artery perforation during percutaneous coronary intervention

L Gruberg1, E Pinnow, R Flood

  • 1Section of Cardiology, Washington Hospital Center, DC 20010, USA.

The American Journal of Cardiology
|September 12, 2000
PubMed

Insights

Coronary artery perforation during percutaneous coronary intervention occurred more in women and with atheroablative devices. This serious complication led to death in 9.5% of patients, often associated with cardiac tamponade and emergency surgery.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Coronary artery perforation is a rare but serious complication of percutaneous coronary intervention (PCI).
  • Understanding the incidence, management, and outcomes is crucial for improving patient care.
  • Atheroablative devices are increasingly used for complex lesion modification.

Purpose of the Study:

  • To analyze the incidence, management, and outcomes of coronary artery perforation following PCI.
  • To identify risk factors associated with this complication.
  • To evaluate mortality and treatment strategies in patients experiencing coronary artery perforation.

Main Methods:

  • Retrospective analysis of 84 cases of coronary artery perforation.
  • Review of patient demographics, procedural details, and outcomes.
  • Comparison of characteristics between patients who survived and those who died.

Main Results:

  • Coronary artery perforation incidence was higher in female patients.
  • Atheroablative devices for lesion modification were associated with increased perforation risk.
  • Mortality rate was 9.5% (8 patients), with older age and cardiac tamponade being common in non-survivors.
  • A higher percentage of non-survivors required emergency surgery.

Conclusions:

  • Coronary artery perforation during PCI is linked to specific patient demographics and device usage.
  • Prompt recognition and management, including potential emergency surgery, are vital for improving outcomes.
  • Further research into preventative strategies and optimized management protocols is warranted.

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