Management of coronary artery perforation

Ahmed Abdalwahab, Mohamed Farag, Emmanouil S. Brilakis, Alfredo R. Galassi, Mohaned Egred

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalCardiovascular Revascularization Medicine
DOIs
StateAccepted/In press - 2020
Externally publishedYes

Keywords

  • Anticoagulation
  • Calcification
  • Coils
  • Coronary artery perforation
  • Covered stents
  • Percutaneous coronary intervention
  • Pericardial tamponade

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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