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[Iatrogenic injuries and thrombotic complications following emergency endovascular interventions]

B S Sukovatykh1, N V Bolomatov2, D V Sidorov3

  • 1Kursk State Medical University, Kursk, Russia.

Khirurgiia
|February 20, 2026
PubMed

Insights

Percutaneous coronary and carotid interventions carry risks of arterial injury and thrombosis. This review details risk factors, prevention, and treatment for these iatrogenic complications in endovascular procedures.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Percutaneous coronary and carotid interventions are standard treatments for arterial diseases.
  • These procedures carry significant risks of iatrogenic lesions and arterial thrombosis.

Purpose of the Study:

  • To review the literature on iatrogenic injuries and thrombotic complications following endovascular interventions.
  • To analyze risk factors, causes, and mechanisms of these complications in coronary and carotid arteries.
  • To detail the incidence, prevention, and treatment of iatrogenic injuries and thrombosis.

Main Methods:

  • Comprehensive review of national and international literature.
  • Analysis of studies focusing on endovascular interventions for coronary and carotid arteries.
  • Specific focus on coronary artery perforations during percutaneous coronary interventions.

Main Results:

  • Identified various risk factors contributing to iatrogenic lesions and thrombosis.
  • Detailed mechanisms leading to arterial damage and clot formation.
  • Presented incidence rates and discussed current prevention and treatment strategies.

Conclusions:

  • Iatrogenic injuries and thrombotic complications are significant risks in percutaneous interventions.
  • Effective prevention and management strategies are crucial for patient safety.
  • Optimal approaches for minimizing and treating these complications require further refinement.

Keywords:
dissection of corrected arterypercutaneous coronary or carotid interventionperforation of arterystent thrombosissurgical accessthrombosis

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