TY - JOUR
T1 - Conservative Management of an Epicardial Collateral Perforation during Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention
AU - Ngo, Christian
AU - Christopoulos, George
AU - Brilakis, Emmanouil S.
PY - 2016/1
Y1 - 2016/1
N2 - Coronary artery perforation is a highly feared complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and can lead to pericardial effusion, tamponade, and, rarely, emergent cardiac surgery. Perforation of epicardial collaterals during retrograde CTO-PCI may be particularly challenging to treat, as embolization from both sides of the perforation may be required to control the bleeding. However, conservative measures can occasionally be effective. We present a case of epicardial collateral vessel perforation that was managed conservatively with anticoagulation reversal.
AB - Coronary artery perforation is a highly feared complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and can lead to pericardial effusion, tamponade, and, rarely, emergent cardiac surgery. Perforation of epicardial collaterals during retrograde CTO-PCI may be particularly challenging to treat, as embolization from both sides of the perforation may be required to control the bleeding. However, conservative measures can occasionally be effective. We present a case of epicardial collateral vessel perforation that was managed conservatively with anticoagulation reversal.
KW - bridging
KW - complications
KW - outcomes
KW - percutaneous coronary intervention
KW - surgery
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M3 - Article
C2 - 26716595
AN - SCOPUS:84953911733
SN - 1042-3931
VL - 28
SP - E11-E12
JO - Journal of Invasive Cardiology
JF - Journal of Invasive Cardiology
IS - 1
ER -