Dangerous Complication of Percutaneous Coronary Intervension (PCI) of Coronary Complete Total Occlusion (CTO) Managed by Complete Total Occlusion (CTO)
Patients having chronic total occlusion (CTO) of
coronary artery who have inadequate collaterals to provide sufficient blood
flow to the myocardial bed may present with anginal symptoms. Revascularisation
of myocardium can be considered in those patients who remain symptomatic
despite optimal medical therapy. Angioplasty in CTO may lead to complication
like coronary perforation which if not managed on time can be catastrophic.
However with proper back up, team work and skill such dreaded complication can
be taken care of with good outcome.
References
[1]
Joyal, D.,
Afilalo, J.
and
Rinfret, S. (2010) Effectiveness of Recanalization
of Chronic Total Occlusions: A Systematic Review and Meta-Analysis. American
Heart Journal,
160, 179- 187. http://dx.doi.org/10.1016/j.ahj.2010.04.015
[2]
Abbott, J.D., Kip, K.E., Vlachos, H.A., et al. (2006) Recent Trends in the Percutaneous Treatment of Chronic
Total Coronary Occlusions. American Journal of Cardiology, 97, 1691-1696. http://dx.doi.org/10.1016/j.amjcard.2005.12.067
[3]
Weisbord, S.D. and Palevsky, P.M. (2010) Strategies
for the Prevention of Contrast-Induced Acute Kidney Injury. Current Opinion in Nephrology and
Hypertension, 19, 539-549. http://dx.doi.org/10.1097/MNH.0b013e32833d42e3
[4]
Michael, T.T., Banerjee, S. and
Brilakis, E.S. (2012) Role
of Internal Mammary Artery Bypass Grafts in Retrograde Chronic Total Occlusion
Interventions. Journal of Invasive Cardiology, 24, 359-362.
[5]
Rathore, S.,
Matsuo, H.,
Terashima, M., et al. (2009) Procedural and In-Hospital Outcomes after Percutaneous
Coronary Intervention for Chronic Total Occlusions of Coronary Arteries 2002 to
2008: Impact of Novel Guidewire Techniques. JACC: Cardiovascular
Interventions,
2, 489-497. http://dx.doi.org/10.1016/j.jcin.2009.04.008
[6]
Ellis, S.G.,
Ajluni, S.,
Arnold, A.Z.,
Pompa, J.J.,
Bittle, J.A.,
Eigler, N.L., et al. (1994) Increased
Coronary Perforation in the New Device Era, Incidence, Classification, Management,
and Outcome. Circulation, 90, 2725-2230. http://dx.doi.org/10.1161/01.CIR.90.6.2725
[7]
Javaid, A.,
Buch, A.N.,
Satler, L.F., et al. (2006) Management
and Outcomes of Coronary Artery Perforation during Percutaneous Coronary
Intervention. American Journal of Cardiology, 98, 911-914. http://dx.doi.org/10.1016/j.amjcard.2006.04.032
[8]
Chae, J.K., Park, S.W., Kim, Y.H., et al. (1997) Successful
Treatment of Coronary Artery Perforation during Angioplasty Using Autologous
Vein Graft-Coated Stent. European Heart
Journal, 18, 1030-1032. http://dx.doi.org/10.1093/oxfordjournals.eurheartj.a015362
[9]
Finch, I.J. and Krouse, J.R. (1996) Pericardial
Tamponade from Iatrogenic Coronary Artery Perforation Treated with Transcatheter
Embolization. Journal of Vascular and
Interventional Radiology, 7, 147-148. http://dx.doi.org/10.1016/S1051-0443(96)70752-2
