Coronary artery dissection and perforation complicating percutaneous coronary intervention

Jason H Rogers, John M. Lasala

Research output: Contribution to journalArticle

105 Scopus citations

Abstract

Percutaneous coronary intervention (PCI) is widely utilized in the treatment of symptomatic coronary artery disease. Despite its 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. We herein review the classification, incidence, pathogenesis, clinical sequelae and management of coronary artery dissection and perforation in the current era. Specifically, the current angiographic classifications of coronary artery dissections and perforations are reviewed. The findings of several recent, large registries of PCI-related coronary artery perforations are summarized. The management of coronary artery dissection and perforation is discussed at length, including the application of newer modalities such as covered stents.

Original languageEnglish (US)
Pages (from-to)493-499
Number of pages7
JournalJournal of Invasive Cardiology
Volume16
Issue number9
StatePublished - Sep 2004

Keywords

  • Coronary angioplasty
  • Coronary dissection
  • Coronary perforation
  • Coronary stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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