Fate of Patients With Coronary Perforation Complicating Percutaneous Coronary Intervention (from the Euro Heart Survey Percutaneous Coronary Intervention Registry)

The American Journal of Cardiology
Timm BauerChristian Hamm

Abstract

Coronary perforation (CP) is a life-threatening complication that can occur during percutaneous coronary intervention (PCI). Little is known, however, about the incidence and clinical outcome of CP. We sought to investigate the occurrence of CP and its determinants and risk profile in a large-scale, prospective registry. From 2005 to 2008, unselected patients (n = 42,068) from 175 centers in 33 countries who underwent a PCI procedure were prospectively enrolled in the PCI registry of the Euro Heart Survey program. For the present analysis, patients experiencing CP during PCI (n = 124, 0.3%) were compared with those who underwent PCI without CP. Patients with CP were older, more often women, had more severe coronary disease, and underwent more complex types of coronary intervention. Independent factors associated with CP were the use of rotablation, intravascular ultrasound-guided PCI, bypass PCI, a totally occluded vessel, a type C lesion, peripheral arterial disease, and body mass index <25. More than 10% of the patients developed cardiac tamponade. In a small minority (3.3%), emergency bypass surgery had to be performed. The inhospital death rate was markedly elevated in patients with CP (7.3% vs 1.5%, p <0.001). After adjust...Continue Reading

References

Jan 13, 2004·The American Journal of Cardiology·Goran StankovicAntonio Colombo
Sep 26, 2006·The American Journal of Cardiology·Aamir JavaidRon Waksman
Jan 22, 2011·JACC. Cardiovascular Interventions·Rasha Al-LameeAntonio Colombo
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Jul 19, 2012·International Journal of Cardiology·Paolo PagnottaPatrizia Presbitero

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Citations

Feb 16, 2017·Journal of Cardiac Surgery·Stéphanie F PerrodinMatthias Kirsch
Sep 17, 2017·Circulation. Cardiovascular Interventions·Tim KinnairdUNKNOWN British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research
Aug 4, 2016·Circulation. Cardiovascular Interventions·Tim KinnairdUNKNOWN British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research
May 14, 2017·Circulation. Cardiovascular Interventions·Tim KinnairdUNKNOWN British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research
Oct 13, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Arslan ShaukatEmmanouil S Brilakis
Oct 20, 2018·Expert Review of Cardiovascular Therapy·Peter TajtiEmmanouil S Brilakis
Apr 30, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Manuel F StruckRoland Prondzinsky
Oct 26, 2018·Circulation. Cardiovascular Interventions·Tim KinnairdUNKNOWN British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research
Nov 24, 2020·Journal of Interventional Cardiology·Yen-Hsiang WangWen-Lieng Lee

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