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- W4300888506 abstract "Coronary perforation leading to shunting to other cardiac chambers is a rare complication of percutaneous coronary intervention (PCI), and most cases reported aggressive treatment with either a covered stent, coiling, or protamine injection. We report herein two cases, one of a fairly large cavity-spilling perforation of the left anterior descending coronary artery into the right ventricle and one spilling in the coronary vein. Both iatrogenic shunts were treated conservatively, and angiographic follow-up showed spontaneous resolution, suggesting that the outcome in this type of perforation may be favorable with conservative therapy. We also propose a management strategy on how to differentiate such contrast extravasations, find which cavity is communicating with the vessel and when to intervene more decisively.We report herein two “fortunate” perforations, one of a fairly large cavity-spilling perforation from the left anterior descending coronary artery into the right ventricle and one spilling in the coronary vein. The angiographic follow-up showed spontaneous healing due to spilling in low-pressure cavities. A “no-touch” strategy is preferred if the patient remains asymptomatic and the pericardium free of fluid." @default.
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- W4300888506 date "2022-07-01" @default.
- W4300888506 modified "2023-09-27" @default.
- W4300888506 title "Small Diameter, Lower Speed, and Laminar Flow Are Protective Factors Against Atherosclerosis In Distal Coronary Arteries" @default.
- W4300888506 doi "https://doi.org/10.1016/j.carrev.2022.06.162" @default.
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