Management of Coronary Artery Perforations

Q: What does this research mean for the field?

A structured algorithm for managing coronary artery perforations can prevent mortality and the need for surgical bailout. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Ahmed Elsherif; Sophia Khattak; Ameenathul M. Fawzy; A H Hussain; Pouya Ebrahimi; Farhan Shahid; Sohail Q. Khan

doi:10.1016/j.jaccas.2026.107019

February 1, 2026JACC Case ReportsOpen Access

Management of Coronary Artery Perforations

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Key Points

To optimize management strategies for coronary artery perforations based on severity and patient condition.
Developed a structured management algorithm
Emphasized early balloon tamponade techniques
Incorporated lesion-specific device selection
Advocated for structured escalation based on patient response
The algorithm aims to reduce mortality associated with perforations
Encourages timely interventions to enhance patient outcomes
Prevents the need for surgical bailout in critical situations

Implication

This report outlines an algorithm for managing coronary artery perforations, emphasizing early intervention and device choice.

Abstract

CAP management should be guided by the severity of perforation, the anatomical site, and the patient's hemodynamics. A structured algorithm involving early balloon tamponade, lesion-specific device selection, and structured escalation can prevent mortality and surgical bailout.

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Cite This Study

Elsherif et al. (2026) studied this question.

synapsesocial.com/papers/699bee1c1c6c6bad5397fd04 https://doi.org/10.1016/j.jaccas.2026.107019

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Management of Coronary Artery Perforations

Key Points

Implication

Abstract

Discussion

Cite This Study

Management of Coronary Artery Perforations

Key Points

Implication

Abstract

Discussion

Cite This Study

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