Coronary perforation and covered stents: An update and review
Coronary perforation is a rare complication of percutaneous coronary intervention. We present two different types of coronary intervention, but both ending with coronary perforation. However, these perforations were tackled successfully by covered stents. This article reviews the incidence, causes,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Heart Views |
| Subjects: | |
| Online Access: | http://www.heartviews.org/article.asp?issn=1995-705X;year=2011;volume=12;issue=2;spage=63;epage=70;aulast=Al-Mukhaini |
| _version_ | 1817980713599762432 |
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| author | Mohammed Al-Mukhaini Prashanth Panduranga Kadhim Sulaiman Abdulla Amour Riyami Mohammed Deeb Mohamed Barkat Riyami |
| author_facet | Mohammed Al-Mukhaini Prashanth Panduranga Kadhim Sulaiman Abdulla Amour Riyami Mohammed Deeb Mohamed Barkat Riyami |
| author_sort | Mohammed Al-Mukhaini |
| collection | DOAJ |
| description | Coronary perforation is a rare complication of percutaneous coronary intervention. We present two different types of coronary intervention, but both ending with coronary perforation. However, these perforations were tackled successfully by covered stents. This article reviews the incidence, causes, presentation, and management of coronary perforation in the present era of aggressive interventional cardiology. Coronary perforations are classified as type I (extraluminal crater), II (myocardial or pericardial blushing), and III (contrast streaming or cavity spilling). Types I and II coronary perforations are caused by stiff or hydrophilic guidewires. Type I has a benign prognosis, whereas type II coronary perforations have the potential to progress to tamponade. Type III coronary perforations are caused by balloons, stents, or other intracoronary devices and commonly lead to cardiac tamponade necessitating pericardial drainage. However, type III perforations can be managed with covered stents without need for surgical intervention. |
| first_indexed | 2024-04-13T22:56:43Z |
| format | Article |
| id | doaj.art-82751faed5564684922d6b26d537fe5a |
| institution | Directory Open Access Journal |
| issn | 1995-705X |
| language | English |
| last_indexed | 2024-04-13T22:56:43Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj.art-82751faed5564684922d6b26d537fe5a2022-12-22T02:25:58ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2011-01-01122637010.4103/1995-705X.86017Coronary perforation and covered stents: An update and reviewMohammed Al-MukhainiPrashanth PandurangaKadhim SulaimanAbdulla Amour RiyamiMohammed DeebMohamed Barkat RiyamiCoronary perforation is a rare complication of percutaneous coronary intervention. We present two different types of coronary intervention, but both ending with coronary perforation. However, these perforations were tackled successfully by covered stents. This article reviews the incidence, causes, presentation, and management of coronary perforation in the present era of aggressive interventional cardiology. Coronary perforations are classified as type I (extraluminal crater), II (myocardial or pericardial blushing), and III (contrast streaming or cavity spilling). Types I and II coronary perforations are caused by stiff or hydrophilic guidewires. Type I has a benign prognosis, whereas type II coronary perforations have the potential to progress to tamponade. Type III coronary perforations are caused by balloons, stents, or other intracoronary devices and commonly lead to cardiac tamponade necessitating pericardial drainage. However, type III perforations can be managed with covered stents without need for surgical intervention.http://www.heartviews.org/article.asp?issn=1995-705X;year=2011;volume=12;issue=2;spage=63;epage=70;aulast=Al-MukhainiCardiac tamponadecoronary perforationcovered stent |
| spellingShingle | Mohammed Al-Mukhaini Prashanth Panduranga Kadhim Sulaiman Abdulla Amour Riyami Mohammed Deeb Mohamed Barkat Riyami Coronary perforation and covered stents: An update and review Heart Views Cardiac tamponade coronary perforation covered stent |
| title | Coronary perforation and covered stents: An update and review |
| title_full | Coronary perforation and covered stents: An update and review |
| title_fullStr | Coronary perforation and covered stents: An update and review |
| title_full_unstemmed | Coronary perforation and covered stents: An update and review |
| title_short | Coronary perforation and covered stents: An update and review |
| title_sort | coronary perforation and covered stents an update and review |
| topic | Cardiac tamponade coronary perforation covered stent |
| url | http://www.heartviews.org/article.asp?issn=1995-705X;year=2011;volume=12;issue=2;spage=63;epage=70;aulast=Al-Mukhaini |
| work_keys_str_mv | AT mohammedalmukhaini coronaryperforationandcoveredstentsanupdateandreview AT prashanthpanduranga coronaryperforationandcoveredstentsanupdateandreview AT kadhimsulaiman coronaryperforationandcoveredstentsanupdateandreview AT abdullaamourriyami coronaryperforationandcoveredstentsanupdateandreview AT mohammeddeeb coronaryperforationandcoveredstentsanupdateandreview AT mohamedbarkatriyami coronaryperforationandcoveredstentsanupdateandreview |