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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.
Author(s): Abdalwahab A, Farag M, Brilakis ES, Galassi AR, Egred M
Publication type: Review
Publication status: Published
Journal: Cardiovascular Revascularization Medicine
Year: 2021
Volume: 26
Pages: 55-60
Print publication date: 01/05/2021
Online publication date: 12/11/2020
Acceptance date: 10/11/2020
ISSN (print): 1553-8389
ISSN (electronic): 1878-0938
Publisher: Elsevier Inc.
URL: https://doi.org/10.1016/j.carrev.2020.11.013
DOI: 10.1016/j.carrev.2020.11.013
PubMed id: 33203580
