Coronary perforation - Post-procedural care

Management algorithm for post-procedural care

Once the coronary perforation has been treated there is still a risk of mortality and close surveillance is required during the first 24 hours.

If the perforation is sealed, continue with cardiac monitoring with close surveillance for haemodynamic instability. Perform echocardiogram < 4 hours. Consider reversing heparin and pericardial drain.

If pericardial drain is in situ, aspirate drain to ensure free drainage.

Coronary perforation algorithm: post-procedural care

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