Incidence, management, and outcome of coronary artery perforation during percutaneous coronary intervention.
We have analyzed the incidence, management, and outcome of 84 cases of coronary artery perforation in patients who underwent percutaneous coronary intervention at our institution. This complication was more frequent in female patients and in patients who underwent lesion modification with atheroablative devices. A total of 8 patients (9.5%) died after the procedure. They were usually older and had a higher incidence of cardiac tamponade; a larger percentage of these patients underwent emergency surgery than those who survived.
Gruberg
L
L
Section of Cardiology, Washington Hospital Center, DC 20010, USA.
Pinnow
E
E
Flood
R
R
Bonnet
Y
Y
Tebeica
M
M
Waksman
R
R
Satler
L F
LF
Pichard
A D
AD
Kent
K M
KM
Leon
M B
MB
Lindsay
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000401:mortality; D017222:Angioplasty, Balloon, Laser-Assisted / Q000009:adverse effects* / Q000401:mortality; D017225:Atherectomy, Coronary / Q000009:adverse effects* / Q000401:mortality; D002932:Cineangiography; D017023:Coronary Angiography; D003327:Coronary Disease / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012421:Rupture; D015996:Survival Rate