Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures

Fasseas, Panayotis; Orford, James L.; Panetta, Carmelo; Bell, Malcolm R.; Denktaş, Ali E.; Lennon, Ryan J.; Holmes, David R.; Berger, Peter B.

doi:10.1016/s0002-8703(03)00505-2

Cited by 171 publications

(171 citation statements)

References 9 publications

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“…[6] Most common reasons for iatrogenic cardiac injuries are implantation or explantation of pacemaker leads, radiofrequency ablation, percutaneous transluminal coronary angiography, central venous catheters, and pulmonary artery catheterizations. [6,7] In this study, also it was also found that the most common reasons for penetrating cardiac injuries are sharp objects and firearm injuries. In the sternotomy group; however, the rate of iatrogenic injuries was found to be higher.…”

Section: Discussionsupporting

confidence: 60%

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Besir

Gokalp

Eygi

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionsupporting

confidence: 60%

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Besir

Gokalp

Eygi

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…19 Most IAT-related intracranial hemorrhages may be directly attributed to either thrombolytic effect, infarct size, or devicevessel incompatibility rather than patient movement. 20,21 Intracranial angioplasty and stenting have been safely performed in awake patients and reported in a single-center study.…”

Section: Discussionmentioning

confidence: 99%

Conscious Sedation Versus General Anesthesia During Endovascular Therapy for Acute Anterior Circulation Stroke

Aböu-Chebl

Lin

Hussain

et al. 2010

Stroke

307

272

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Background and Purpose-Patients undergoing intra-arterial therapy (IAT) for acute ischemic stroke receive either general anesthesia (GA) or conscious sedation. GA may delay time to treatment, whereas conscious sedation may result in patient movement and compromise the safety of the procedure. We sought to determine whether there were differences in safety and outcomes in GA patients before initiation of IAT. Methods-A cohort of 980 patients at 12 stroke centers underwent IAT for acute stroke between 2005 and 2009. Only patients with anterior circulation strokes due to large-vessel occlusion were included in the study. A binary logistic-regression model was used to determine independent predictors of good outcome and death. Results-The mean age was 66Ϯ15 years and median National Institutes of Health Stroke Scale score was 17 (interquartile range, 13-20). The overall recanalization rate was 68% and the symptomatic hemorrhage rate was 9.2%. GA was used in 44% of patients with no differences in intracranial hemorrhage rates when compared with the conscious sedation group. The use of GA was associated with poorer neurologic outcome at 90 days (odds ratioϭ2.33; 95% CI, 1.63-3.44; PϽ0.0001) and higher mortality (odds ratioϭ1.68; 95% CI, 1.23-2.30; PϽ0.0001) compared with conscious sedation. Conclusions-Patients placed under GA during IAT for anterior circulation stroke appear to have a higher chance of poor neurologic outcome and mortality. There do not appear to be differences in hemorrhagic complications between the 2 groups. Future clinical trials with IAT can help elucidate the etiology of the differences in outcomes. (Stroke. 2010; 41:1175-1179.)

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“…The largest published series describes 124 events, and the total literature is <1000 cases. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Given the small numbers of events per published series, it has not been possible to examine several key questions relating to the occurrence and outcomes of CP. First, it is unclear from the available evidence what the true incidence of CP is and whether its incidence increasing or decreasing.…”

mentioning

confidence: 99%

Incidence, Determinants, and Outcomes of Coronary Perforation During Percutaneous Coronary Intervention in the United Kingdom Between 2006 and 2013

Kinnaird

Kwok

Kontopantelis

et al. 2016

Circ: Cardiovascular Interventions

104

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Background-As coronary perforation (CP) is a rare but serious complication of percutaneous coronary intervention (PCI) the current evidence base is limited to small series. Using a national PCI database, the incidence, predictors, and outcomes of CP as a complication of PCI were defined. Adjusted odds of adverse outcomes were higher in patients with CP for all major adverse coronary events, including stroke, bleeding, and mortality. Emergency surgery was required in 3% of cases. Predictors of mortality in patients with CP included age, diabetes mellitus, previous myocardial infarction, renal disease, ventilatory support, use of circulatory support, glycoprotein inhibitor use, and stent type. Conclusions-Using a national PCI database for the first time, the incidence, predictors, and outcomes of CP were defined. Methods and Results-DataAlthough CP as a complication of PCI occurred rarely, it was strongly associated with poor outcomes. (Circ Cardiovasc Interv. 2016;9:e003449.

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Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures

Cited by 171 publications

References 9 publications

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Conscious Sedation Versus General Anesthesia During Endovascular Therapy for Acute Anterior Circulation Stroke

Incidence, Determinants, and Outcomes of Coronary Perforation During Percutaneous Coronary Intervention in the United Kingdom Between 2006 and 2013

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