What is artery perforation?
Introduction. Coronary artery perforation (CAP) is, fortunately, a rare but serious life-threatening complication of a percutaneous coronary intervention (PCI), which in severe cases lead to cardiac tamponade, cardiogenic shock, myocardial infarction, and even death, if there is no intervention.
How is coronary perforation treated?
Large vessel perforation is usually treated with implantation of a covered stent, whereas distal and collateral vessel perforations are usually treated with coil or fat embolization.
How does stent thrombosis occur?
Stent thrombosis occurs in the days to weeks after intracoronary stent placement. Factors associated with an increased risk of stent thrombosis include inadequate expansion and/or apposition of the stent in the coronary artery, and inadequate oral antiplatelet therapy.
What is a covered stent?
Covered stents are composed of fabric or graft material, such as polytetrafluoroethylene (PTFE), covering a metal stent. They have various clinical applications in peripheral arterial disease management.
Does aspirin prevent stent thrombosis?
To prevent stent thrombosis, a serious complication of stent implantation, dual-antiplatelet therapy with aspirin and ticlopidine has optimal efficacy.
When is the highest risk for stent thrombosis?
When classified as early, late, or very late:
- Early stent thrombosis occurs within one month of initial placement.
- Late stent thrombosis occurs between 1 and 12 months of initial placement.
- Very late stent thrombosis occurs after 12 months of initial placement. [5]
How long does wrist hurt after angiogram?
In the first week it’s normal to have some soreness and tenderness at the spot where the tube was inserted. Bruising is also common, and can last a little longer, but should go away after about two weeks. You’ll also need to take some precautions to reduce the risk of complications in the first week.
How serious is a tear in an artery?
Overview. Spontaneous coronary artery dissection — sometimes referred to as SCAD — is an emergency condition that occurs when a tear forms in a blood vessel in the heart. SCAD can slow or block blood flow to the heart, causing a heart attack, heart rhythm problems (arrythmias) or sudden death.
Can a torn artery heal itself?
Whenever possible, health care providers allow the damaged artery to heal on its own. For some people, medications might relieve the symptoms of SCAD , so it might be possible to be treated with medications alone. If chest pain or other symptoms persist, other treatments might be needed.
What are the disadvantages of stent?
damage to the artery where the sheath was inserted. allergic reaction to the contrast agent used during the procedure. damage to an artery in the heart. excessive bleeding requiring a blood transfusion.
What is the best blood thinner after stent?
Dual antiplatelet therapy (DAPT), which includes both aspirin and a second blood thinner, is recommended for nearly all patients after receiving a stent. This drug regimen helps prevent clots from forming around the device and reduces risk for future heart events.
How long does it take for an artery puncture to heal?
The lump will go away in about 2 to 4 weeks. The bruising will disappear in about 1 week. Problems with the puncture site are rare. Call your doctor if you have any questions.