Abstract
Distal wire perforations during percutaneous coronary intervention are more likely to occur during long or complex procedures such as complete total occlusion (CTO) recanalisation, or when stiff or hydrophilic wires are used. Although they may be benign, they can also cause cardiac tamponade which may present as post-procedural hypotension or shock. Treatment strategies such as prolonged balloon inflation and methods of distal vessel embolisation are reviewed. Pericardiocentesis may be required but reversal of anticoagulation may be best avoided until coronary instrumentation is complete.
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Jokhi, P.P. (2016). Distal Wire Perforation. In: Lindsay, A., Chitkara, K., Di Mario, C. (eds) Complications of Percutaneous Coronary Intervention. Springer, London. https://doi.org/10.1007/978-1-4471-4959-0_27
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DOI: https://doi.org/10.1007/978-1-4471-4959-0_27
Publisher Name: Springer, London
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