Article citationsMore>>

Ellis, S.G., Ajluni, S., Arnold, A.Z., Popma, J.J., Bittl, J.A., Eigler, N.L., et al. (1994) Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation, 90, 2725-2730. doi:10.1161/01.CIR.90.6.2725

has been cited by the following article:

• TITLE: Fatal complication, rescue therapy; covered stent for coronary artery perforation

  AUTHORS: Abdulmelik Yıldız, Ahmet Karakurt, Atila Bitigen, Bayram Bağırtan

  KEYWORDS: Percutaneous Coronary Artery Intervention; Coronary Artery Perforation; Covered Stent

  JOURNAL NAME: Health, Vol.5 No.7C, July 18, 2013

  ABSTRACT: Introduction: Although coronary perforation is a rare complication observed during intervenetional procedures, it has a considerably high mortality rate. The prevelance of coronary perforation has been reported to be 0.20%-0.6%. Its sudden development, the patient’s agitation and development of rapid collapse render intervention difficult. Materials and Method: The presence of perfusion balloon and covered stent in clinics is life-saving. In the present study, we retrospectively reviewed 17 cases with coronary artery perforation that were treated between 2009 and 2012. Of these patients, 10 (58.8%) were men and 7 (41.2%) were women; the median age was 62.8 ± 8.3 years. The coronary artery perforation resulted from guide wire in 23.5%, balloon dilatation in 58.8% and stent implantation in 17.6%. All the lesions were either type B or C lesions. Results: The extensiveness of perforation was Ellis grade I in 23.5%, grade II in 47.1% and grade III in 29.4% of the cases. In the treatment of the perforation, polytetrafluoroethylene-covered stent graft was implemented in 9 (52.9%) patients, whilst conventional and emergency surgical therapy was performed in 8 (47.1%) patients. Grade I perforations occurred due to the guide wire and were managed with conventional therapy (p