Tips and Tricks in Management and Prevention of Coronary Perforation in Acute Coronary Syndrome: Case Illustration and Review

Coronary artery perforation (CAP) represents a rare, but potentially fatal complication during percutaneous coronary intervention (PCI). however, if diagnosed and managed promptly, the consequences were be minimized. We report the case of a coronary perforation(Elis type II) of left anterior descending artery (LAD), due to balloon post-dilatation at the end of revascularization of a non-ST elevation myocardial infarction (NSTEMI). Managed successfully with an immediate blocking balloon, hence  hemodynamic stability  and non significant pericardial effusion. Through this case, we want to highlights, to interventional cardiologists, some tips and tricks in management and prevention of coronary perforation in acute coronary syndrome.