Application of endovascular pure electrocoagulation in the management of coronary artery perforation during percutaneous coronary intervention
Qing-Yu HUANG1
Bang-Wei WU2
Bo JIN2
Wei SHEN2
Mazin Eisa3
Xin-Ping LUO2
Jian LI2
1.Department of Cardiology,North Huashan Hospital,Fudan University,Shanghai,China;Department of Cardiology,Huashan Hospital,Fudan University,Shanghai,China2.Department of Cardiology,Huashan Hospital,Fudan University,Shanghai,China3.Shanghai Medical College of Fudan University,Shanghai,China
摘要：Coronary artery perforation(CAP)during percutaneous coronary intervention(PCI)is a serious complication associ-
ated with significant morbidity and mortality.Its incidence in the general PCI population has been re-ported to range from 0.50％to 0.58％.Meanwhile,in chronic total occlusion(CTO)PCI procedure,the in-cidence increased to1.4％-4.4％.[1]Currently,most of CAPs are distally located and related to guidewire,especially hydrophilic guidewire manipulations.[2]To avoid urgent or emergency cardiac surgery,some commonly used techniques include balloon inflations,covered stents,and coil embolization stand as representative options in the treatment of CAP.[3]Despite the availability of treatment ap-proaches,there is still a lack of a standard con-sensus about the optimal management of this chal-lenging complication.Endovascular pure electroco-agulation is a new approach that has been reported in the management of small vessel hemorrhage dis-ease in cerebrovascular intervention,it can also provide promising results in CAP management.Herein,we would like to present a case of coronary perforation during CTO PCI procedure,which suc-cessfully managed by endovascular pure electroco-agulation.
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论文发表日期：2021-03-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 240-244 )