Expecting the unexpected: preventing and managing the consequences of coronary perforations. (2nd November 2018)

• Record Type: Journal Article
• Authors: Tajti, Peter; Xenogiannis, Iosif; Chavez, Ivan; Gössl, Mario; Mooney, Michael; Poulose, Anil; Sorajja, Paul; Traverse, Jay; Wang, Yale; Burke, M. Nicholas; Brilakis, Emmanouil S.
• Is Part Of: Expert review of cardiovascular therapy. Volume 16:Number 11(2018)
• Page Start: 805
• Page End: 814
• Publication Date: 2018-11-02
• Subjects: Perforation -- complex coronary interventions -- percutaneous coronary interventions -- complication -- outcomes; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1080/14779072.2018.1533402
• Languages: English
• ISSNs: 1477-9072

Abstract

ABSTRACT: Introduction : Coronary artery perforations are more likely to occur during percutaneous coronary intervention of complex coronary lesions, such as heavily calcified lesions and chronic total occlusions. Areas covered : Authors provide an update on the management of coronary perforations by performing a critical review of the related, recently published literature. Expert commentary : Meticulous attention to guidewire position and to device selection is critical for minimizing the risk for coronary perforation. If a perforation occurs, following a structured, algorithmic approach can maximize the likelihood of a successful outcome.