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Updated: Jul 9, 2026

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Endovascular Perforation Model for Subarachnoid Hemorrhage Combined with Magnetic Resonance Imaging (MRI)
Published on: December 16, 2021
[Coronary arterial perforation during endovascular intervention]
Vestnik Rentgenologii I Radiologii
|November 27, 2007
Summary
Timely detection and treatment of coronary arterial perforation, a serious complication during endovascular interventions, are crucial. This paper outlines causes, classification, and an algorithm for managing these events, illustrated by a clinical case.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
- Medical Complications
Background:
- Endovascular interventions carry risks, including coronary arterial perforation.
- Prompt identification and management of this complication are vital for patient outcomes.
Purpose of the Study:
- To detail the causes, classification, and management strategies for coronary arterial perforation during endovascular procedures.
- To provide a practical algorithm for addressing this complication.
- To illustrate the clinical application through a case study.
Main Methods:
- Review of existing literature on coronary arterial perforation.
- Development of a classification system for perforation severity.
- Formulation of a step-by-step management algorithm.
- Presentation of a detailed clinical case example.
Main Results:
- Identified common causes and predisposing factors for coronary arterial perforation.
- Proposed a classification system to guide treatment decisions.
- Demonstrated the efficacy of the outlined algorithm in a clinical scenario.
- Highlighted the importance of early detection and intervention.
Conclusions:
- Coronary arterial perforation is a significant but manageable complication.
- A structured approach involving timely detection, accurate classification, and algorithmic management improves outcomes.
- Clinical vigilance and adherence to established protocols are essential for successful intervention.
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