TY - JOUR
T1 - Preventing and treating coronary perforations
T2 - Lessons from disaster management
AU - Sandoval, Yader
AU - Brilakis, Emmanouil S.
N1 - Publisher Copyright:
© 2017 Wiley Periodicals, Inc.
PY - 2017/5
Y1 - 2017/5
N2 - Coronary artery perforations (CAP) are rare in patients undergoing routine PCI with recent contemporary databases reporting an incidence ∼0.3%. Older age, cardiomyopathy or left ventricular dysfunction, mechanical circulatory support prior to PCI, and CTO lesions have the strongest association with CAP. Prevention, early detection, preparedness and familiarity with the equipment used to treat perforations (such as efficient use of covered stents, and fat or coil embolization) and regrouping to examine and educate about these experiences are key for improving our response to cath lab disasters.
AB - Coronary artery perforations (CAP) are rare in patients undergoing routine PCI with recent contemporary databases reporting an incidence ∼0.3%. Older age, cardiomyopathy or left ventricular dysfunction, mechanical circulatory support prior to PCI, and CTO lesions have the strongest association with CAP. Prevention, early detection, preparedness and familiarity with the equipment used to treat perforations (such as efficient use of covered stents, and fat or coil embolization) and regrouping to examine and educate about these experiences are key for improving our response to cath lab disasters.
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U2 - 10.1002/ccd.27089
DO - 10.1002/ccd.27089
M3 - Editorial
C2 - 28488413
AN - SCOPUS:85019085402
SN - 1522-1946
VL - 89
SP - 973
EP - 975
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 6
ER -