++
Chapter 61. Coronary Artery Perforation
++
++
++
Lesions at high risk for perforation include which of the following?
++
++
++
++
++
++
++
C. Lesions in branches and distal vessels
++
++
++
++
++
++
++
++
+
++
++
++
++
Guide wire perforation is most likely to occur with which of the following?
++
++
++
++
++
+
++
++
++
++
Factors relating to prevention of perforation include which of the following?
++
++
++
A. Avoidance of high-risk lesions
++
++
B. Careful review of diagnostic angiograms prior to starting case
++
++
++
++
D. Use of intravascular ultrasound and optical coherence tomography before, during, and at end of procedure
++
++
++
++
+
++
++
++
++
Management of perforation may include which of the following?
++
++
++
A. Maintenance of guide wire position
++
++
B. Tamponade of leak by inflating balloon across perforation
++
++
++
++
++
++
++
++
+
++
++
++
++
In management of a perforation, what is the single most important caveat?
++
++
++
A. Reverse anticoagulation
++
++
B. Tamponade perforation by inflating balloon across lesion
++
++
C. Use covered stent (stent graft)
++
++
D. Maintain guide wire position
++
++
+
++