Coronary Perforation During Percutaneous Coronary Intervention : Lessons From Our Experiences
スポンサーリンク
概要
- 論文の詳細を見る
Coronary perforation is an undesirable complication during percutaneous coronary intervention (PCI). We reviewed the cases of overt coronary perforation in our institute and analyzed their clinical backgrounds, the characteristics of the target lesion, management, and clinical outcomes. Between 1991 and 2005, we experienced 12 cases (0.35%) of coronary perforation in a total of 3415 PCI procedures. The perforation occurred during the use of debulking devices in 3 cases, immediately after stenting in 2, immediately after postdilatation of the stent in 2, and during wiring in 3 cases. Restoration was attempted by long inflation of a balloon in 7 cases, implantation of a covered stent graft in 1, and emergency surgical repair in 1 case. Subsequent cardiac tamponade occurred in 3 patients who required pericardiocentesis, and 1 patient died due to congestive heart failure. Administration of protamine was effective in stopping the bleeding in 6 patients, whereas continuation of antiplatelet therapy resulted in no overt rebleeding. Coronary perforation during PCI is a rare complication but is associated with significant morbidity and mortality. Intravenous administration of protamine is effective when it is used in conjunction with nonsurgical devices for initial management of perforation.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
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Takano Teruo
First Department of Internal Medicine, Nippon Medical School
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Takayama Morimasa
First Department of Internal Medicine, Nippon Medical School
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Takano Hitoshi
First Department of Internal Medicine, Nippon Medical School
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Takano Hitoshi
日本医科大学 内科学循環器
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Shirakabe Akihiro
First Department of Internal Medicine, Nippon Medical School
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Nakamura Shunichi
First Department of Internal Medicine, Nippon Medical School
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Kikuchi Arifumi
First Department of Internal Medicine, Nippon Medical School
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Sasaki Asako
First Department of Internal Medicine, Nippon Medical School
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Yamamoto Eisei
First Department of Internal Medicine, Nippon Medical School
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Kawashima Shuji
First Department of Internal Medicine, Nippon Medical School
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Takagi Gen
First Department of Internal Medicine, Nippon Medical School
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Fujita Nobuhiko
First Department of Internal Medicine, Nippon Medical School
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Aoki Satoshi
First Department of Internal Medicine, Nippon Medical School
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Asai Kuniya
First Department of Internal Medicine, Nippon Medical School
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Yoshikawa Masatomo
Coronary Care Unit, Nippon Medical School
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Kato Koji
Coronary Care Unit, Nippon Medical School
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Yamamoto Takeshi
Coronary Care Unit, Nippon Medical School
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Takano Teruo
First Department Of Internal Medicine Nippon Medical School
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Asai Kuniya
First Department Of Internal Medicine Nippon Medical School
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Yamamoto Eisei
First Department Of Internal Medicine Nippon Medical School
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