![]() ![]() Approximately 50% of the coronary perforations are guidewire (GW) related. ![]() Coronary perforation occurs more frequently with debulking techniques (directional/rotational atherectomy) with an incidence of approximately 1%. Covered stents enabled efficient endovascular repair of coronary artery perforations. Based on the type of perforation, various methods as emergent surgery, covered stent implantation, coil insertion, prolong balloon inflation, and conservative approaches can be used. It is an effective alternative that can be used to seal a major coronary perforation.Ĭardiac tamponade, Chronic total occlusion, Coronary perforation, Rotational atherectomyĬoronary perforation is a rare but life-threatening complication of percutaneous coronary interventions (PCIs) and approximately ranges from 0.19–0.59% of these procedures, depending on the patient's risk factors. Covered stents for emergency implantation in case of coronary perforation must be an obligatory inventory of catheterization laboratories. Even if balloon anchoring was performed at low pressure, we need keep in mind that it still could result in a terrible coronary perforation after debulking techniques. Rotational atherectomy may be not related to perforation, but causes vessel wall more fragile after disruption of the arc of calcification. Unfortunately, coronary perforation happened during balloon anchoring after rotational atherectomy. Coronary intervention was performed for chronic total occlusion of left anterior descend-ing artery. He presented symptoms and signs of decompens-ated heart failure and was diagnosed as non ST-segment elevation myocardial infarction, killip III. Int J Case Rep Images 2016 7(10):666–670.Īn 87-year-old Asian male experienced progressive shortness of breath for two days. Coronary perforation during balloon anchoring after rotational atherectomy of chronic total occlusion of coronary vessel. ![]() Lee Wei-Chieh, Wu Chiung-Jen, Fang Hsiu-Yu. No.123, Ta Pei Rd, Niao-Sung district, Kaohsiung City,Īccess full text article on other devices Kaohsiung 123, Ta Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan Coronary perforation during balloon anchoring after rotational atherectomy of chronic total occlusion of coronary vesselġDivision of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taiwan.ĭivision of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital ![]()
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