Emergency management - Type III
Active jet extravasation - exit jet > 1mm
Type III coronary perforation is the most serious perforation and expedient management is crucial in order to preserve life.
Table of content
- Introduction Type III
- Management algorithm
- Additional links
- Case library
- Post-procedural care
Introduction
Management algorithm
The main step of Type III coronary perforation is covered stent implantation together with measures to restorehaemodynamic instability which may require pericardial drain insertion and restoration.
Additional links
Link 1 - Inflate balloon at perforation site
Link 2 - How to implant a covered stent
Link 3 - Choice of covered stent
Case library
Consult the 1st Case study: a Ramus Type III perforation
Consult the 2nd Case study: a Calcified LAD Type III perforation
Consult the 3rd Case study: perforation during left anterior descending CTO-PCI
Consult the 4th Case study: an iatrogenic perforation of the left main during PCI
Disclaimer
This case report does not reflect the opinion of PCR or PCRonline, nor does it engage their responsibility.
