The Journal of Tehran University Heart Center 2009. 4(4):248-252.

Coronary Artery Perforation after Guidewire Removal
Hosein Vakili, Roxana Sadeghi, Mohammad Reza Biranvand, Mohammad Hasan Namazi, Habibollah Saadat, Morteza Safi, Mohammad Reza Motamedi


Coronary artery perforation is a rare, but potentially serious, complication of percutaneous coronary intervention and is associated with a high incidence of death, Q-wave myocardial infarction, and emergency coronary bypass surgery. Management is different but requires prompt recognition and treatment.

We describe a case of coronary perforation only after guidewire removal and also review the management of vessel rupture and perforation.


Coronary vessels, Cardiac tamponade , Pericardiocentesis, Angioplasty, transluminal, percutaneous ,

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