Özet:

Purpose: Coronary arterial perforation (CAP) is a complication that is frequently found during coronary initiation (PKG) but may result in fatal consequences. The neutrophil lymphocytes rate (NLO) is a new inflammatory indicator known to be associated with the severity and prognosis of many cardiovascular diseases. We aimed at researching the relationship between NLO and red cell distribution width (RDW) with CAP development. Tools and Methods: In the years 2012-2018, a total of 15199 patients with PKG in two different centers were scaned backward. This cut-through observational retrospective study included 50 patients developing coronary perforation during PKG and 100 patients not developing coronary perforation. The full blood count parameters were compared between these two groups. NLO was calculated as the ratio of the number of neutrophils to the number of lymphocytes. Results: In 15199 patients with PKG 50 (% 0.32)( average age 63.2 ± 12.2,% 64 men) coronary perforation occurred. Most perforations were observed in the left front-down artery (LAD) (n = 27% 54), then in the right coronary artery (RCA) (n = 13% 26). The most commonly observed Ellis type II CAP (52%), the main cause of perforation was balloon angioplasty (42%). NLO (median 3.3 (4.0) against median 2.3 (1,6), p<0.001) and RDW (median 14.2 (2.0) against median 13.5 (1,3), p=0.002) were significantly higher in the CAP group. The result: High NLO and RDW levels in patients with percutaneous coronary injection are associated with perforation in the coronary artery.

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