Abstract
Complication rates following percutaneous interventions have decreased over the past decade due to advancement in both interventional equipment and procedure technique. Despite these advances, the risk of iatrogenic perforations still exists with associated high morbidity and mortality. We are presenting three cases of guidewire-induced perforations including coronary artery and renal artery perforation with their complications and successful management in these case-series.
Highlights
In this age of advancing technology and expertise, catheter-based diagnostic and interventional procedures are being performed with increasing frequency
These are rare events following percutaneous intervention, the fact that these can lead to near-fatal iatrogenic complications makes their timely diagnosis and subsequent successful management vital
We report three cases of guidewire-induced perforations, including two coronary artery perforations and one renal artery perforation and discuss the management of these cases
Summary
In this age of advancing technology and expertise, catheter-based diagnostic and interventional procedures are being performed with increasing frequency. This has inadvertently led to an increase in the incidence of catheter-related complications. These are rare events following percutaneous intervention, the fact that these can lead to near-fatal iatrogenic complications makes their timely diagnosis and subsequent successful management vital. We report three cases of guidewire-induced perforations, including two coronary artery perforations and one renal artery perforation and discuss the management of these cases All these cases are unusual in their presentation (clinically apparent after the interventional procedure). The follow-up events and their management would provide an important guidance for any such unforeseen complications
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