Expecting the unexpected: preventing and managing the consequences of coronary perforations

Peter Tajti, Iosif Xenogiannis, Ivan Chavez, Mario Gössl, Michael Mooney, Anil Poulose, Paul Sorajja, Jay Traverse, Yale Wang, M. Nicholas Burke, Emmanouil S Brilakis

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Introduction: Coronary artery perforations are more likely to occur during percutaneous coronary intervention of complex coronary lesions, such as heavily calcified lesions and chronic total occlusions. Areas covered: Authors provide an update on the management of coronary perforations by performing a critical review of the related, recently published literature. Expert commentary: Meticulous attention to guidewire position and to device selection is critical for minimizing the risk for coronary perforation. If a perforation occurs, following a structured, algorithmic approach can maximize the likelihood of a successful outcome.

Original languageEnglish (US)
Pages (from-to)805-814
Number of pages10
JournalExpert Review of Cardiovascular Therapy
Issue number11
StatePublished - Nov 2 2018


  • complex coronary interventions
  • complication
  • outcomes
  • percutaneous coronary interventions
  • Perforation

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine


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