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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.


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.

Coronary perforation algorithm: Type III

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


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