ArticleJACC. Case reports2025
Catastrophic Left Main Coronary Artery Perforation During Complex Percutaneous Coronary Intervention: Successful Multidisciplinary Management.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntravascular ultrasound (IVUS)-related coronary perforations are rare but life-threatening complications of percutaneous coronary interventions. CASE SUMMARY: An older woman underwent percutaneous coronary intervention for a severely calcified stenosis in the proximal left anterior descending artery. During IVUS advancement after rotational atherectomy, a longitudinal coronary perforation occurred, resulting in cardiac arrest. Rapid deployment of venoarterial extracorporeal membrane oxygenation (ECMO) was initiated, followed by multiple covered stents and emergency coronary artery bypass grafting. DISCUSSION: Although balloon hemostasis and pericardiocentesis had not yet been performed, no signs of tamponade on fluoroscopy made us decide on the initial ECMO deployment, which resulted in an excellent outcome without significant myocardial damage and neurologic deficits. TAKE-HOME MESSAGES: Rapid ECMO and a multidisciplinary heart team approach are vital for rescuing lives without serious sequelae. In addition, careful IVUS manipulation and thorough evaluation are essential in high-risk coronary interventions.
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