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Titolo:
Coronary perforation during percutaneous coronary intervention in the era of abciximab platelet glycoprotein IIb/IIIa blockade: An algorithm for percutaneous management
Autore:
Dippel, EJ; Kereiakes, DJ; Tramuta, DA; Broderick, TM; Shimshak, TM; Roth, EM; Hattemer, CR; Runyon, JP; Whang, DD; Schneider, JF; Abbottsmith, CW;
Indirizzi:
Carl & Edyth Lindner Ctr Res & Educ, Cincinnati, OH 45219 USA Carl & EdythLindner Ctr Res & Educ Cincinnati OH USA 45219 OH 45219 USA Ohio Heart Hlth ctr, Cincinnati, OH USA Ohio Heart Hlth ctr Cincinnati OHUSA Heart Hlth ctr, Cincinnati, OH USA Christ Hosp, Cincinnati, OH 45219 USA Christ Hosp Cincinnati OH USA 45219Christ Hosp, Cincinnati, OH 45219 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 3, volume: 52, anno: 2001,
pagine: 279 - 286
SICI:
1522-1946(200103)52:3<279:CPDPCI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERY PERFORATION; TREATED PATIENTS; BYPASS SURGERY; ANGIOPLASTY; TRANSFUSION; PROTAMINE; RUPTURE; STENT;
Keywords:
coronary perforation; percutaneous coronary intervention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Kereiakes, DJ Carl & Edyth Lindner Ctr Res & Educ, 2123 Auburn Ave,Suite 424, Cincinnati, OH 45219 USA Carl & Edyth Lindner Ctr Res & Educ 2123 Auburn Ave,Suite 424 Cincinnati OH USA 45219
Citazione:
E.J. Dippel et al., "Coronary perforation during percutaneous coronary intervention in the era of abciximab platelet glycoprotein IIb/IIIa blockade: An algorithm for percutaneous management", CATHET C IN, 52(3), 2001, pp. 279-286

Abstract

Coronary perforation is an uncommon but potentially life-threatening complication of percutaneous coronary intervention. The use of both atheroablative technologies for coronary intervention and adjunctive platelet glycoprotein blockade pharmacology may increase the incidence of or risk for life-threatening bleeding complications following the occurrence of coronary artery perforation. The interventional database for 6,214 percutaneous coronary interventions performed between January 1995 and June 1999 was analyzed. Hospital charts and cine angiograms for all patients identified in the database as having had coronary perforation were reviewed. Coronary perforation complicated 0.58% of all procedures and was more commonly observed in patients with a history of congestive heart failure and following use of atheroablative interventional technologies (2.8%). There was no association of abciximab therapy with either the incidence of or classification for coronary perforation. Adverse clinical outcomes (death, emergency surgical exploration) were related to the angiographic classification of perforation and were more frequently observed in patients who experienced a class 3 coronary perforation. These data suggest that specific clinical and procedural demographic factors are associated with the occurrence and severity of angiographiccoronary perforation. An angiographic perforation class-specific algorithmfor treatment of coronary perforation is proposed. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 19:10:52