OBJECTIVES: To evaluate the success rate and outcome of @entity453 perforation treatment using a dual guiding catheter technique. BACKGROUND: Coronary artery perforation is a rare but severe complication during percutaneous coronary intervention (PCI) with high mortality. The use of a second guiding catheter is a helpful technique to minimize @entity548 through the perforation during interventional repair. METHODS: We screened all @entity1 between March 2004 and December 2014 who underwent PCI in our department for the occurrence of peri-interventional coronary perforation that was treated using a dual catheter technique. @entity1 and lesion characteristics as well as outcome were determined. RESULTS: We identified 8 @entity1 who experienced @entity453 perforations (Ellis grade III) during coronary intervention and were treated using a dual guiding catheter approach. The procedure was technically successful (placement of covered stent and sealing of perforation) in 6 @entity1 . Pericardiocentesis was required in 3 @entity1 (38%). Total mortality was 12% (n=1). No coronary or peripheral @entity455 occurred due to the use of a second guiding catheter. CONCLUSIONS: We suggest that the dual guiding catheter technique is a useful and alternative approach to treat severe Ellis grade III @entity453 perforations that occur in the context of percutaneous coronary interventions.

Treatment and outcome of XXXX perforations using a dual guiding catheter technique.

@entity1 :: ('9606', 'Species') :: ['patients', 'Patient'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery'] @entity455 :: ('MESH:D014652', 'Disease') :: ['vascular access complication'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage']
@entity453 :: (MESH:D003324,Disease) :: ['coronary artery']
