Vural A, Pershukov I V, Batyraliev T A, Niiazova-Karben Z A, Suleĭmanova T, Petrakova L N, Peresypko M K, Sidorenko B A
Kardiologiia. 2006;46(3):13-8.
Coronary artery perforation is a rare but serious complication of percutaneous coronary interventions. Aim of this study--to assess inhospital and long term outcomes in patients in whom perforation occurred during coronary intervention and elucidation of predictors of coronary artery perforation. Between May 1997 and October 2002 perforations were formed in the course of percutaneous interventions in 127 patients what amounted 1.08% of 11,793 patients, subjected to coronary interventions, and 0.77% of 16,494 treated coronary segments. Causes of perforations were complex stenoses, chronic occlusions, calcified lesions, small predicted and minimal vessel lumen, high percent stenosis, use of excimer laser or thromboextrator. Rates of arterial perforations and subsequent adverse events including cardiac tamponade and urgent coronary artery bypass surgery as well as mortality had been declining throughout observation period.
冠状动脉穿孔是经皮冠状动脉介入治疗中一种罕见但严重的并发症。本研究的目的——评估冠状动脉介入治疗期间发生穿孔的患者的住院及长期预后，并阐明冠状动脉穿孔的预测因素。1997年5月至2002年10月期间，127例患者在经皮介入治疗过程中发生穿孔，占接受冠状动脉介入治疗的11793例患者的1.08%，以及16494个治疗冠状动脉节段的0.77%。穿孔的原因包括复杂狭窄、慢性闭塞、钙化病变、预计血管小和最小血管腔、高狭窄百分比、使用准分子激光或血栓抽吸器。在整个观察期内，动脉穿孔率及随后包括心脏压塞、急诊冠状动脉搭桥手术在内的不良事件发生率以及死亡率均呈下降趋势。
