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Coronary artery perforations: four different cases and a review
Ismail Dogu Kilic1, Yusuf Izzettin Alihanoglu, Serhat B Yildiz
1Pamukkale University, Medical Faculty, Department of Cardiology, 20070 Denizli/Turkey.
Coronary artery perforation (CAP) is a rare complication of percutaneous coronary intervention. Complex lesion interventions are increasing CAP incidence, necessitating careful management strategies.
Area of Science:
- Interventional Cardiology
- Cardiovascular Medicine
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
- Coronary artery perforation (CAP) is an infrequent but serious complication of PCI.
Observation:
- Complex PCI cases, involving calcified or tortuous vessels and chronic total occlusions, are increasing.
- These complex interventions are associated with a higher incidence of CAP.
Findings:
- This report presents a literature review and four case studies of coronary artery perforation.
- Analysis of these cases aims to understand the nuances of CAP in complex PCI.
Implications:
- Understanding the factors contributing to CAP is crucial for interventional cardiologists.
- Improved awareness and management strategies can mitigate the risks associated with CAP during complex PCI procedures.
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