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Managing coronary artery perforation after percutaneous coronary intervention

Adnan Kassier1, Tim A Fischell1

  • 1Department of interventional cardiology, Ascension Borgess Hospital, Kalamazoo, Michigan, United States.

Expert Review of Cardiovascular Therapy
|March 28, 2022
PubMed

Insights

Coronary artery perforation is a serious complication during percutaneous coronary intervention. This review offers an overview of current management strategies and potential operator challenges, aiming for safer interventions.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Complications

Background:

  • Coronary artery perforation is a significant complication of percutaneous coronary intervention (PCI).
  • This complication leads to increased morbidity and mortality.
  • Effective management is crucial for patient outcomes.

Purpose of the Study:

  • To provide a state-of-the-art overview of contemporary management of coronary artery perforation.
  • To discuss potential scenarios encountered during PCI.
  • To offer expert commentary on recognition, management, and future directions.

Main Methods:

  • Literature search using PubMed and Google Scholar.
  • Identification of recently published articles on coronary perforation.
  • Expert commentary and synthesis of current knowledge.

Main Results:

  • Coronary artery perforation presents significant challenges during PCI.
  • Current management strategies aim to mitigate risks and improve outcomes.
  • Technological advancements are key to safer and more effective treatment.

Conclusions:

  • Timely recognition and appropriate management are vital for coronary artery perforation.
  • Continuous improvement in technology and techniques can enhance patient safety.
  • Expert insights guide the evolving strategies for managing this complication.
Abstract

Keywords:
Coronary artery perforationcovered stentspercutaneous coronary interventionthrombin

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