scholarly journals Conservative type III coronary perforation management: when the basic treatment is life-saving

Author(s):  
Marcos Oliveira ◽  
Valter Trigueiro ◽  
Igor Batista ◽  
Adriano Caixeta

Coronary artery perforation is a rare but potentially lethal complication of percutaneous coronary intervention, mainly due to hemodynamic compromise secondary to cardiac tamponade development. All interventional cardiologists must thus be able to promptly recognize and solve coronary artery perforation. We describe a successfully and conservatively managed type III coronary artery perforation with prolonged balloon inflations, in the absence of covered stents and without compromising the percutaneous coronary intervention result by anticoagulation reversal.

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Xiangfei Wang ◽  
Junbo Ge

Coronary artery perforation is an uncommon complication in patients with coronary heart disease undergoing percutaneous coronary intervention. However, pericardial tamponade following coronary artery perforation may be lethal, and prompt treatment is crucial in managing such patients. Balloon occlusion and the reversal of anticoagulant activity are the common methods used to prevent cardiac tamponade by reducing the amount of bleeding. Herein, we discuss the pros and cons of currently used occlusion types for coronary perforation. Optimal balloon occlusion methods should reduce the amount of bleeding and ameliorate subsequent myocardial ischemia injury, even during cardiac surgery.


2017 ◽  
Vol 13 (5) ◽  
pp. e595-e601 ◽  
Author(s):  
Oliver Guttmann ◽  
Daniel Jones ◽  
Ankur Gulati ◽  
Tushar Kotecha ◽  
Hossam Fayed ◽  
...  

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