| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 3018485 | Revista Española de Cardiología (English Edition) | 2010 | 5 Pages |
The aims of this study were to determine the incidence of coronary artery perforation by intracoronary guidewires during angioplasty, to identify associated factors, and to assess outcomes. The retrospective analysis covered 4,353 consecutive procedures, corresponding to a total 6,994 lesions treated over a period of 8 years. Coronary artery perforation by guidewires occurred in 15 cases (0.35%). Perforation was associated with the number of hydrophilic wires used (odds ratio=2.33; 95% confidence interval, 1.34-4.05) and treatment of chronic occlusions (odds ratio=3.31; 95% confidence interval, 1.05-10.46). Cardiac tamponade occurred in 7 cases (46.7%), 6 of which were subacute. Three cases were resolved by pericardiocentesis, while 4 required surgical drainage. Cardiac tamponade was associated with the number of guidewires used (P=.039) and the use of abciximab (P=.016). No death occurred.
En el presente estudio se valora la incidencia, los parámetros relacionados y la evolución de la perforación coronaria por guía intracoronaria durante la realización de angioplastia.Se analizaron retrospectivamente 4.353 procedimientos consecutivos, correspondientes a 6.994 lesiones tratadas en 8 años. Se detectó perforación coronaria por guía en 15 casos (0,35%). Ésta se relacionó con el número de guías hidrófilas usadas (odds ratio [OR] = 2,33; intervalo de confianza [IC] del 95%, 1,34-4,05) y el tratamiento de oclusiones crónicas (OR = 3,31; IC del 95%, 1,05-10,46). En 7 casos (46,7%) hubo taponamiento cardiaco, 6 de manera subaguda; 3 se solucionaron con pericardiocentesis y 4 requirieron drenaje quirúrgico. El taponamiento se relacionó con el número de guías utilizadas (p = 0,039) y el uso de abciximab (p = 0,016). No se produjeron muertes.
