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Management of coronary artery perforation

Lookup NU author(s): Dr Mohaned Egred


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© 2020 Elsevier Inc.Coronary artery perforation (CAP) is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI), however if recognized and managed promptly, its adverse consequences can be minimized. Risk factors for CAP include the use of advanced PCI technique (such as atherectomy and chronic total occlusion interventions) and treatment of severely calcified lesions. There are 3 major types of CAP depending on location: (a) large vessel perforation, (b) distal vessel perforation, and (c) collateral perforation. Large vessel perforation is usually treated with implantation of a covered stent, whereas distal and collateral vessel perforations are usually treated with coil or fat embolization. In this article we provide a state-of-the-art overview of the contemporary management of CAP.

Publication metadata

Author(s): Abdalwahab A, Farag M, Brilakis ES, Galassi AR, Egred M

Publication type: Review

Publication status: Published

Journal: Cardiovascular Revascularization Medicine

Year: 2020

Pages: epub ahead of print

Online publication date: 12/11/2020

Acceptance date: 10/11/2020

ISSN (print): 1553-8389

ISSN (electronic): 1878-0938

Publisher: Elsevier Inc.


DOI: 10.1016/j.carrev.2020.11.013

PubMed id: 33203580


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