Coronary Artery Dissection and Perforation Complicating Percutaneous Coronary Intervention – A Review.
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Date
2011
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Abstract
After its introduction by Andrew R. Gruentzig in 1977 percutaneous coronary intervention (PCI) is
widely utilized in the treatment of symptomatic coronary artery disease. Though it has numerous
benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic
coronary artery dissection and perforation. The incidence of these complications has been augmented
by the development of coronary interventional devices intended to remove or ablate tissue.
Here we review the classification, incidence, pathogenesis, clinical sequelae and management of
coronary artery dissection and perforation in the current era due to PCI. Specifically, the current
angiographic classifications of coronary artery dissections and perforations are reviewed. The
findings of several recent, registries of PCI-related coronary artery perforations and dissection are
summarized. The management of coronary artery dissection and perforation is discussed in details,
including the application of newer modalities such as covered stents
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Keywords
Percutaneous coronary intervention (PCI), Coronary artery dissection
Citation
Rahman, Ullah M, Choudhury A K. Coronary Artery Dissection and Perforation Complicating Percutaneous Coronary Intervention – A Review. Cardiovascular Journal. 2011; 3(2): 239-247.