Coronary Artery Hematoma Treated with Fenestration Using a Novel NSE Alpha® Scoring Balloon

The optimal management of coronary intramural hematoma has not been defined. We described a case in which coronary occlusion developed due to an intramural hematoma after percutaneous coronary intervention for mid left circumflex artery (LCX). Intravascular ultrasound (IVUS) demonstrated the progres...

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Detalles Bibliográficos
Autores principales: Funayama, Naohiro, Konishi, Takao, Yamamoto, Tadashi, Hotta, Daisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643103/
https://www.ncbi.nlm.nih.gov/pubmed/29098092
http://dx.doi.org/10.1155/2017/8189530
Descripción
Sumario:The optimal management of coronary intramural hematoma has not been defined. We described a case in which coronary occlusion developed due to an intramural hematoma after percutaneous coronary intervention for mid left circumflex artery (LCX). Intravascular ultrasound (IVUS) demonstrated the progression of the intramural hematoma and a totally compressed true lumen. Our approach was based on fenestration with a scoring balloon (NSE Alpha, Goodman, Japan), which allowed the deployment of an additional stent to be avoided. In conclusion, this management can be effectively and safely performed.

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