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      Coronary perforation during insertion of a long stent in a severely calcified lesion

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          Abstract

          We reported a case that the insertion of a 48‐mm‐long stent in a calcified coronary lesion after rotational atherectomy led to stent stacking and S‐shaped flection, resulting in longitudinal coronary perforation without stent inflation. Its flexibility and length pose a possible risk of deformation inside the vessel during stent insertion.

          Abstract

          Insertion of a 48‐mm‐long stent after rotational atherectomy led to stent stacking and S‐shaped flection, resulting in coronary perforation without stent inflation.

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          Most cited references3

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          Prevalence and outcomes of coronary artery perforation during percutaneous coronary intervention

          We aimed to examine the prevalence, clinical outcomes and procedural characteristics of percutaneous coronary intervention (PCI) complicated by coronary artery perforation (CAP) in a contemporary patient population.
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            Coronary Artery Perforation and Tamponade - Incidence, Risk Factors, Predictors and Outcomes From 12 Years' Data of the SCAAR Registry.

            The incidence and short- and long-term outcomes of coronary artery perforation (CAP) are not well described.Methods and Results:We analyzed the characteristics and the short- and long-term outcomes of CAP among 243,149 patients undergoing percutaneous coronary interventions (PCI) from 2005 until 2017 in the national Swedish registry. We identified 1,008 cases of CAP with an incidence of 0.42%. Major adverse event rates were significantly higher in patients with CAP than non-CAP (P<0.001). The 1-year mortality rate was 16% vs. 5.5%, respectively, and the 12-year mortality rate was 52% vs. 34%. The restenosis rate was 5.2% vs. 3.1% and 17% vs. 9%, respectively. The target lesion revascularization rate was 4.2% vs. 2.6% and 10.5% vs. 7%. The stent thrombosis rate was numerically higher, 1.5% vs. 0.8% and 4.5 vs. 2.8%, with no stent thrombosis cases for equine pericardial stent grafts. Among the patients with tamponade a large proportion of cases occurred at the late stage (215/1,008, 21%), and most were not recognized in the cath-lab (167/215, 78%). The mortality rate for late tamponade was similar in patients suffering acute tamponade at 1 year (25.6% vs. 27%) or at 12 years (54% vs. 58%).
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              Coronary perforation complicating percutaneous coronary intervention in patients presenting with an acute coronary syndrome: An analysis of 1013 perforation cases from the British Cardiovascular Intervention Society database

              The evidence base for coronary perforation occurring during percutaneous coronary intervention in patients presenting with an acute coronary syndrome (ACS-PCI) is limited and the specific role of acute pharmacology in its clinical presentation unclear.
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                Author and article information

                Contributors
                y.murasato@gmail.com
                Journal
                Clin Case Rep
                Clin Case Rep
                10.1002/(ISSN)2050-0904
                CCR3
                Clinical Case Reports
                John Wiley and Sons Inc. (Hoboken )
                2050-0904
                06 July 2021
                July 2021
                : 9
                : 7 ( doiID: 10.1002/ccr3.v9.7 )
                : e04217
                Affiliations
                [ 1 ] Department of Cardiology and Clinical Research Center National Hospital Organization Kyushu Medical Center Fukuoka Japan
                Author notes
                [*] [* ] Correspondence

                Yoshinobu Murasato, Department of Cardiology, National Hospital Organization, Kyushu Medical Center, 1‐8‐1, Jigyohama, Chuo, Fukuoka 810‐8563, Japan.

                Email: y.murasato@ 123456gmail.com

                Author information
                https://orcid.org/0000-0003-4825-5347
                Article
                CCR34217
                10.1002/ccr3.4217
                8259801
                34257971
                4082b46e-9607-4880-a247-fb66b90e9658
                © 2021 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 04 April 2021
                : 09 March 2021
                : 10 April 2021
                Page count
                Figures: 5, Tables: 0, Pages: 4, Words: 1819
                Categories
                Case Report
                Case Report
                Custom metadata
                2.0
                July 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.4 mode:remove_FC converted:06.07.2021

                complication,percutaneous coronary intervention,stents

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