Premium
Preventing and treating coronary perforations: Lessons from disaster management
Author(s) -
Sandoval Yader,
Brilakis Emmanouil S.
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27089
Subject(s) - medicine , conventional pci , embolization , incidence (geometry) , impella , cardiology , artery , medical emergency , surgery , cardiogenic shock , myocardial infarction , physics , optics
Key Points Coronary artery perforations (CAP) are rare in patients undergoing routine PCI with recent contemporary databases reporting an incidence ∼0.3%. Older age, cardiomyopathy or left ventricular dysfunction, mechanical circulatory support prior to PCI, and CTO lesions have the strongest association with CAP. Prevention, early detection, preparedness and familiarity with the equipment used to treat perforations (such as efficient use of covered stents, and fat or coil embolization) and regrouping to examine and educate about these experiences are key for improving our response to cath lab disasters.