Coronary artery perforation remains a rare complication of contemporary PCI (0.48% incidence), most commonly caused by wire injury.
Warrants wire caution during PCI; case reports leave open need for larger studies on prevention.
Coronary artery perforation as a complication of PCI is still rare as demonstrated in our series with an incidence of 0.48%. The predominant cause of coronary perforations in the current era of PCI is wire injury.
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Kiernan et al. (2009) studied this question.
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