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 case of perforation(Elis type II) left anterior descending (LAD) ,due to balloon post-dilatation at end revascularization non-ST elevation myocardial infarction (NSTEMI) .Managed successfully with an immediate blocking ,hence hemodynamic stability non significant pericardial effusion. Through this case, want highlights, interventional cardiologists ,some tips tricks in management prevention acute syndrome.