A Percutaneous Coronary Intervention Complication: Coronary Perforation

YILDIZ, Abdülmelik; BAGIRTAN, BAYRAM

A Percutaneous Coronary Intervention Complication: Coronary Perforation

Abdülmelik YILDIZ, (Private Medikal Park Hospital)

Bayram BAĞIRTAN (Private Medikal Park Hospital)

İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi

0 0

Yıl: 2013 Cilt: 20 Sayı: 4 Sayfa Aralığı: 338 - 340 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A Percutaneous Coronary Intervention Complication: Coronary Perforation

Öz:

Koroner perforasyon, kateterizasyon laboratuvarının en korkulan ve ölümcül olabilen komplikasyonudur. Perforasyon sıklığı %O,2--O,6 olarak bildirilmiştir. Koroner perforasyonda, işlemi yapan kardiyologun kılavuzlarda bildirilen yetkinliğe sahip olması, kateter laboratuvarında covered stent bulunması hayat kurtarıcı olmaktadır. Efor testi pozitif olan, tipik anjina tanımlayan 69 yaşındaki hasta koroner anjiografi için kateter laboratuvarın alındı. Koroner anjiografide sol Ön inen koroner arter (LAD) orta segmentte saptanan %80 darlığa Biomime stent nominal basınçla yerleştirildi. Optimal açılımı sağlamak için powerline balon ile postdilatasyon uygulandı. Postdilatasyon sonucu Ellis grade lll perforasyon gelişti. Perforasyon bölgesine 3,0X'l9 mm graft stent implante edildi. Yapılan ekokardiyografi incelemelerinde perikardial mayii ve tamponat bulguları saptanmayan hasta stabil olarak taburcu edildi.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Perkutan Koroner Girişim Komplikasyonu: Koroner Perforasyon

Öz:

Coronary perforation is the most feared and lethal complication in the catheterization laboratories. Perforation incidence is reported to be between 0,2 O,6%. Sixty nine year-old patient with typical angina pectoris and having positive effort test was admitted to the catheter laboratory for coronary angiography. In the coronary angiography, Biomime stent was deployed with nominal pressure to the mid segment of the left anterior descending (LAD) artery which was found to have 80% stenosis. In order to obtain optimal expansion, postdilatation was performed with powerline balloon. After postdilatation, Ellis grade III perforation was developed. Bleeding control was achieved with implantation of 3,0><19 mm graft stent to the perforation site. In the echocardiographic investigations, the patient did not exhibit any pericardial fluid and tamponade findings so the patient was discharged after 48 hours.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Ryan TJ, Faxon DP, Gunnar RM, Kennedy JW, King SB 3rd, Loop FD, et al. Guidelines for percutaneous transluminal coronary angioplasty. report of American College of Cardiology/American Heart Association task force of assessment of diagnostic and therapeutic cardiovasculer procedures (Subcommitee of percutaneous transluminal coronary angioplasty). Circulation 1988;78:486—502.
2. Ellis SG, Ajluni S, Arnold AZ, Popma JJ, Bittl JA, Eigler NL, et al. Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 1994;906:2725—30.
3. Gruberg L, Pinnow E, Flood R, Bonnet Y, Tebeica M, Waksman R, et al. Incidence, management and outcome of coronary artery perforation during percutaneous coronary intervention. Am Cardiol 2000;86:680—2.
4. Shimony A, Joseph L, Mottillo S, Eisenberg MJ. Coronary artery perforation during percutaneous coronary intervention: systematic review and meta-analysis. Can Cardiol 2011;27:843—50.
5. Demir I. Perkütan girişimsel işlemlerin komplikasyonları. Turkiye Klinikleri Int Med Sci 2006;2215-26.
6. Briguori C, Nishida T, Anzuini A, Di Mario C, Grube E, stent implantation to treat coronary ruptures. Circulation Colombo A. Emergency polytetrafluoroethylene covered 2000;102:3028-31

APA	YILDIZ A, BAGIRTAN B (2013). A Percutaneous Coronary Intervention Complication: Coronary Perforation. , 338 - 340.
Chicago	YILDIZ Abdülmelik,BAGIRTAN BAYRAM A Percutaneous Coronary Intervention Complication: Coronary Perforation. (2013): 338 - 340.
MLA	YILDIZ Abdülmelik,BAGIRTAN BAYRAM A Percutaneous Coronary Intervention Complication: Coronary Perforation. , 2013, ss.338 - 340.
AMA	YILDIZ A,BAGIRTAN B A Percutaneous Coronary Intervention Complication: Coronary Perforation. . 2013; 338 - 340.
Vancouver	YILDIZ A,BAGIRTAN B A Percutaneous Coronary Intervention Complication: Coronary Perforation. . 2013; 338 - 340.
IEEE	YILDIZ A,BAGIRTAN B "A Percutaneous Coronary Intervention Complication: Coronary Perforation." , ss.338 - 340, 2013.
ISNAD	YILDIZ, Abdülmelik - BAGIRTAN, BAYRAM. "A Percutaneous Coronary Intervention Complication: Coronary Perforation". (2013), 338-340.

APA	YILDIZ A, BAGIRTAN B (2013). A Percutaneous Coronary Intervention Complication: Coronary Perforation. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 20(4), 338 - 340.
Chicago	YILDIZ Abdülmelik,BAGIRTAN BAYRAM A Percutaneous Coronary Intervention Complication: Coronary Perforation. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 20, no.4 (2013): 338 - 340.
MLA	YILDIZ Abdülmelik,BAGIRTAN BAYRAM A Percutaneous Coronary Intervention Complication: Coronary Perforation. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.20, no.4, 2013, ss.338 - 340.
AMA	YILDIZ A,BAGIRTAN B A Percutaneous Coronary Intervention Complication: Coronary Perforation. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2013; 20(4): 338 - 340.
Vancouver	YILDIZ A,BAGIRTAN B A Percutaneous Coronary Intervention Complication: Coronary Perforation. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2013; 20(4): 338 - 340.
IEEE	YILDIZ A,BAGIRTAN B "A Percutaneous Coronary Intervention Complication: Coronary Perforation." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 20, ss.338 - 340, 2013.
ISNAD	YILDIZ, Abdülmelik - BAGIRTAN, BAYRAM. "A Percutaneous Coronary Intervention Complication: Coronary Perforation". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 20/4 (2013), 338-340.