Perforations can be life threating complications, but if recognised quickly and managed correctly can have a positive outcome. This section explains how to treat a coronary perforation.
In total there are 5 types.
There are five types of coronary perforation: Type I, Type II, Type III, Type IV and Type V. Type I and Type II are lower risk, but one needs to be particularly aware of the risk of progression to Type III. Type III and Type V are the most serious types of perforation where expedient treatment is crucial in order to save lives.
Extraluminal crater without jet extravasation
Pericardial or myocardial blushing without jet extravasation
Active jet extravasation exit jet > 1mm
Leaking into another cardiovascular cavity
Each type of perforation is presented in four parts, namely:
In addition to this complication management resource, further cases on coronary perforation are available on the website in the Topics section on Other Coronary interventions.
A References page, is available at the end of this section if you would like to broaden your research. Please also consult the PCR-EAPCI Textbook, Part III - Chapter 24 on the Prevention and management of Complications during Percutaneous Coronary Intervention (PCI)
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