Key result
Four cases and a literature review detail coronary artery perforation complicating PCI.
Case Report (n=4)
Coronary artery perforation is an increasingly relevant complication of PCI as interventionalists tackle more complex lesions.
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Raises awareness of perforation risk in complex PCI; case reports leave open optimal prevention strategies.
Coronary artery perforation (CAP) is a rare but feared complication of percutaneous coronary intervention. With the advent of new devices and technologies, interventionalists attempt more complex lesions, including more calcified or tortuous vessels and chronic total occlusions, which increases the incidence of CAP. A short literature review, in addition to four cases of CAP, is presented in this report. As perfurações das artérias coronárias são raras, mas complicações temidas nas intervenções coronarianas percutâneas. Com o advento de novos dispositivos e tecnologias, a tentativa de intervenção em lesões mais complexas, incluindo os vasos mais calcificados ou tortuosos ou oclusões crónicas, leva a maior incidência de perfurações de artérias coronárias. Uma breve revisão da literatura, além de quatro casos de perfurações de artérias coronárias foi apresentada no presente trabalho.
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Kılıç et al. (2013) conducted a case report in Coronary artery perforation (n=4). Percutaneous coronary intervention was evaluated. Four cases of coronary artery perforation, a rare but feared complication of percutaneous coronary intervention, are presented alongside a short literature review.
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