Changing trends in the incidence, management and outcomes of coronary artery perforation over an 11-year period: single-centre experience

IntroductionCoronary artery perforation (CP) is a rare but life-threatening complication of percutaneous coronary intervention (PCI). This study aimed to assess the incidence, management and outcomes of CP over time.MethodsA single-centre retrospective cohort study of all PCIs performed between Janu...

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Bibliographic Details
Published in:Open heart 2022-04, Vol.9 (1), p.e001916
Main Authors: Umar, Hamza, Sharma, Harish, Osheiba, Mohammed, Roy, Ashwin, Ludman, Peter F, Townend, Jonathan N, Nadir, M Adnan, Doshi, Sagar N, George, Sudhakar, Zaphiriou, Alex, Khan, Sohail Q
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Aged
Aged, 80 and over
Angioplasty
Cardiovascular disease
Coronary Artery Disease
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - epidemiology
Coronary Vessels
Heart surgery
Humans
Incidence
Interventional Cardiology
Kidney diseases
Male
Middle Aged
Patients
Percutaneous Coronary Intervention
Percutaneous Coronary Intervention - adverse effects
Retrospective Studies
Statistical analysis
Stents
Trends
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Summary:IntroductionCoronary artery perforation (CP) is a rare but life-threatening complication of percutaneous coronary intervention (PCI). This study aimed to assess the incidence, management and outcomes of CP over time.MethodsA single-centre retrospective cohort study of all PCIs performed between January 2010 and December 2020. Patients with CP were divided into two cohorts (A+B), representing the two halves of the 11-year study.ResultsThe incidence of CP was 68 of 9701 (0.7%), with an increasing trend over the two 5.5-year periods studied (24 of 4661 (0.5%) vs 44 of 5040 (0.9%); p=0.035). Factors associated with CP included chronic total occlusions (CTOs) (16 of 68 (24%) vs 993 of 9633 (10%); p
ISSN:2053-3624
2398-595X
2053-3624
DOI:10.1136/openhrt-2021-001916