Coronary Artery Perforation: Difference between revisions

Latest revision as of 12:19, 19 August 2013

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+#redirect:[[PCI complications: vessel perforation]]
-Surgical closure is necessary for perforations that demonstrate continued bleeding despite minimal invasive therapy, refractory [[ischemia]], or recurrent [[hemorrhage]].
-==Is Treatment Working?==
-There are several signs that indicate whether treatment is failing.  Incomplete closure is signified by persistent dye extravasation, while [[pericardial]] fluid collection and impending cardiac [[tamponade]] is signified by increasing right atrial pressure.  Peristent fluid accumulation or pericardial drain output (>24 h) should prompt surgical repair.
-Serial echocardiography should be performed q 6-12h.