Multi-Center Experience of Coronary Artery Perforation During Percutaneous Coronary Intervention: Clinical and Angiographic Characteristics, Management, and Outcomes Between 2010 and 2020

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dc.authorscopusid57190382986
dc.authorscopusid55149809000
dc.authorscopusid56188504000
dc.authorscopusid57199652078
dc.authorscopusid55711129400
dc.authorscopusid24726129900
dc.authorscopusid37036434400
dc.contributor.authorGunduz, Ramazan
dc.contributor.authorYildiz, Bekir Serhat
dc.contributor.authorCetin, Nurullah
dc.contributor.authorOzgur, Su
dc.contributor.authorCizgici, Ahmet Yasar
dc.contributor.authorTuluce, Kamil
dc.contributor.authorTuluce, Selcen Yakar
dc.date.accessioned2023-01-12T20:18:41Z
dc.date.available2023-01-12T20:18:41Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground: Coronary artery perforations are one of the most feared, rare, and catastrophic complication of percutaneous coronary intervention. Despite the remarkable increase in coronary angiography and percutaneous coronary intervention, there is no large database that collects coronary artery perforation for the Turkish population. Our study aimed to report our experience over a 10-year period for clinical and angiographic characteristics, management strategies, and outcomes of coronary artery perforation during the percutaneous coronary intervention at different cardiology departments in Turkey. Methods: The study data came from a retrospective analysis of 48 360 percutaneous coronary intervention procedures between January 2010 and June 2020. A total of 110 cases who had coronary artery perforation during the percutaneous coronary intervention were found by angiographic review. Analysis has been performed for the basic clinical, angiographic, procedural characteristics, the management of coronary artery perforation, and outcome of all patients. Results: The coronary artery perforation rate was 0.22%. Out of 110 patients with coronary artery perforation, 66 patients showed indications for percutaneous coronary intervention with acute coronary syndrome and 44 patients with stable angina pectoris. The most common lesion type and perforated artery were type C (34.5%) and left anterior descending (41.8%), respectively. The most observed coronary artery perforation according to Ellis classification was type III (37.2%). Almost 52.7% of patients have a covered stent implanted in the perforated artery. The all-cause mortality rate of coronary artery perforation patients in the hospital was 18.1%. Conclusion: The observed rate of coronary artery perforation in our study is consistent with the studies in this literature. However, the mortality rates related to coronary artery perforation are higher than in other studies in this literature. Especially, the in-hospital mortality rate was higher in type II and type III groups due to perforation and its complications. Nevertheless, percutaneous coronary intervention should be done in selected patients despite catastrophic complications.en_US
dc.identifier.doi10.5152/AnatolJCardiol.2022.1337
dc.identifier.endpage618en_US
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue8en_US
dc.identifier.pmid35924287en_US
dc.identifier.scopus2-s2.0-85135243684en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage608en_US
dc.identifier.trdizinid1124570en_US
dc.identifier.urihttps://doi.org/10.5152/AnatolJCardiol.2022.1337
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1124570
dc.identifier.urihttps://hdl.handle.net/11454/78867
dc.identifier.volume26en_US
dc.identifier.wosWOS:000852744200004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofAnatolian Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoronary artery perforationen_US
dc.subjectin-hospital mortalityen_US
dc.subject1-year mortalityen_US
dc.subjectLong-Term Outcomesen_US
dc.subjectCovered Stenten_US
dc.subjectRisk-Factorsen_US
dc.subjectTask-Forceen_US
dc.subjectPredictorsen_US
dc.subjectEraen_US
dc.subjectGuidelinesen_US
dc.subjectTrendsen_US
dc.titleMulti-Center Experience of Coronary Artery Perforation During Percutaneous Coronary Intervention: Clinical and Angiographic Characteristics, Management, and Outcomes Between 2010 and 2020en_US
dc.typeArticleen_US

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