A Practical Approach to the Management of Complications During Percutaneous Coronary Intervention

JACC Cardiovasc Interv. 2018 Sep 24;11(18):1797-1810. doi: 10.1016/j.jcin.2018.05.052.

Abstract

Percutaneous coronary intervention relieves symptoms in patients with chronic ischemic heart disease resistant to optimal medical therapy and alters the natural history of acute coronary syndromes. However, adverse procedural outcomes may occur during the intervention. Knowledge of possible complications and their timely management are essential for the practicing cardiologist and can be life-saving for the patient. In this review, the authors summarize potential complications of percutaneous coronary intervention focusing on their practical management.

Keywords: abrupt vessel closure; coronary perforation; device embolization; longitudinal stent deformation; percutaneous coronary intervention; procedural complications; rotational atherectomy burr entrapment.

Publication types

  • Review

MeSH terms

  • Cardiac Catheters*
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / etiology
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / therapy*
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / mortality
  • Foreign-Body Migration / therapy*
  • Heart Injuries / diagnostic imaging
  • Heart Injuries / etiology
  • Heart Injuries / mortality
  • Heart Injuries / therapy*
  • Humans
  • Percutaneous Coronary Intervention / adverse effects*
  • Percutaneous Coronary Intervention / instrumentation*
  • Percutaneous Coronary Intervention / mortality
  • Prosthesis Failure*
  • Risk Assessment
  • Risk Factors
  • Stents*
  • Treatment Outcome