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Editorial
. 2019 Mar 1;93(4):E255-E256.
doi: 10.1002/ccd.28055.

Hope for the best, prepare for the worst: How to manage coronary perforations

Bimmer E Claessen  1 , Roxana Mehran  1
Affiliations
Editorial

Hope for the best, prepare for the worst: How to manage coronary perforations

Bimmer E Claessen et al. Catheter Cardiovasc Interv. .

Abstract

The incidence of coronary perforation in a contemporary cohort of 13,339 PCI procedures was 0.51%. The majority (75%) were large-vessel perforations Although only 1 patient required emergency cardiac surgery, in-hospital mortality was high (10%) Given the infrequent occurrence of coronary perforations, uniform recommendations for its management are lacking. Nonetheless, the present study suggests that avoiding oversized balloons or stents might potentially reduce the incidence of perforations.

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  • Incidence, predictors, management and outcomes of coronary perforations.
    Shaukat A, Tajti P, Sandoval Y, Stanberry L, Garberich R, Nicholas Burke M, Gössl M, Henry T, Mooney M, Sorajja P, Traverse J, Bradley SM, Brilakis ES. Shaukat A, et al. Catheter Cardiovasc Interv. 2019 Jan 1;93(1):48-56. doi: 10.1002/ccd.27706. Epub 2018 Oct 12. Catheter Cardiovasc Interv. 2019. PMID: 30312992

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