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Coronary Perforation Complicating Percutaneous Coronary Intervention - A Case Illustration and Review

Ang Chin Yong1, Jack Tan Wei Chieh1

  • 1Department of Cardiology, National Heart Centre Singapore, Singapore, Singapore.

ASEAN Heart Journal : Official Journal of the ASEAN Federation of Cardiology
|August 29, 2015
PubMed

Insights

Coronary perforation, a rare but serious complication of percutaneous coronary intervention, requires immediate recognition and management. This review details its incidence, causes, outcomes, and treatment strategies.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Medicine
  • Medical Complications

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
  • Coronary perforation is a rare but potentially fatal complication during PCI.
  • Existing literature highlights the infrequent occurrence (0.2-0.6%) but significant risks associated with coronary perforation.

Purpose of the Study:

  • To present a case of coronary perforation during PCI.
  • To review the current understanding of coronary perforation incidence.
  • To discuss the causes, clinical sequelae, and contemporary management strategies for coronary perforation.

Main Methods:

  • Case illustration of a patient experiencing coronary perforation.
  • Literature review of incidence, causes, and outcomes.
  • Analysis of current management protocols for coronary perforation.

Main Results:

  • Coronary perforation, though infrequent (0.2-0.6%), poses a life-threatening risk.
  • Prompt recognition and management are crucial for patient outcomes.
  • The review synthesizes data on the etiology, clinical impact, and treatment of this complication.

Conclusions:

  • Coronary perforation is a critical complication of PCI demanding vigilant monitoring.
  • Effective management hinges on rapid diagnosis and appropriate intervention.
  • This review provides a comprehensive overview for clinicians managing PCI-related coronary perforations.

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