Emergency management - Type II: Epicardial segment

Pericardial or myocardial blushing without jet extravasation

A Type II perforation is similar to Type I in terms of management, but is associated with a higher risk of progression to Type III. Myocardial blushing is considered to be lower risk than pericardial fat staining.



Coronary perforation: Type II

Management algorithm

The main step of Type II coronary perforation is to inflate the balloon at the site of the perforation and assessment for progression to Type III.

Coronary perforation algorithm: Type II

Additional links

Link 1 - Inflate balloon at perforation site

Type III - Active jet extravasation - Exit jet > 1mm


This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.