Key result
This review summarizes the classification, incidence, pathogenesis, risk factors, and management of coronary artery perforation as a complication of percutaneous coronary intervention.
Why the study?
Increasing complexity of lesions and use of different devices during PCI have increased the incidence of coronary artery perforation, prompting a review of its current classification, pathogenesis, predictors, and management.
This review summarizes the classification, incidence, pathogenesis, risk factors, and management of coronary artery perforation, a rare but serious complication of percutaneous coronary intervention.
May inform PCI operators on perforation recognition and management; leaves open prospective validation of optimal strategies.
Percutaneous coronary intervention (PCI) is considered as the standard treatment of obstructive coronary artery disease in indicated patients. Even though PCI gives symptomatic angina improvement, but associated with serious complications like coronary artery perforation (CAP), the incidence is quite low. With the more complex lesions for successful angioplasty, different devices are required, which in turn increase the incidence of CAP in these patients. Here we review the classification, incidence, pathogenesis, clinical sequela, risk factors, predictors, and management of CAP in the current era due to PCI.
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Deb et al. (2019) conducted a review in Coronary Artery Perforation. Percutaneous coronary intervention (PCI) was evaluated. This review summarizes the classification, incidence, pathogenesis, risk factors, and management of coronary artery perforation as a complication of percutaneous coronary intervention.
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