Key Points
- To evaluate the incidence, angiographic risk classification, clinical management, and patient outcomes of coronary artery perforation associated with modern interventional devices.
- Evaluated clinical and procedural characteristics of coronary perforation occurring during interventional coronary procedures with newer devices.
- Classified perforation risk using angiographic criteria and examined post-procedure observation periods for adverse sequelae.
- Coronary perforation incidence remains low overall but is increased in procedures using newer interventional devices.
- Women and elderly patients experience the highest risk of coronary perforation.
- Angiographic grading classifies clinical risk, yet low-risk perforations can still lead to adverse outcomes, necessitating at least 24 hours of observation for delayed cardiac tamponade.
Structured PICO
PPopulationPatients undergoing coronary interventions
IInterventionNew interventional devices
OOutcomeCoronary perforationsafety
New coronary devices increase the risk of perforation, especially in women and the elderly, requiring at least 24 hours of observation for delayed cardiac tamponade.