Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery

We report a case of percutaneous coronary intervention for spontaneous multi-vessel coronary artery dissection including the left main coronary artery. This case suggests that intracoronary imaging is useful for understanding the complex anatomy and for choosing the appropriate management for effect...

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Autores principales: Noguchi, Masahiko, Obunai, Kotaro, Fukui, Yu, Okumura, Hiroshi, Watanabe, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064689/
https://www.ncbi.nlm.nih.gov/pubmed/29434132
http://dx.doi.org/10.2169/internalmedicine.0177-17
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author Noguchi, Masahiko
Obunai, Kotaro
Fukui, Yu
Okumura, Hiroshi
Watanabe, Hiroyuki
author_facet Noguchi, Masahiko
Obunai, Kotaro
Fukui, Yu
Okumura, Hiroshi
Watanabe, Hiroyuki
author_sort Noguchi, Masahiko
collection PubMed
description We report a case of percutaneous coronary intervention for spontaneous multi-vessel coronary artery dissection including the left main coronary artery. This case suggests that intracoronary imaging is useful for understanding the complex anatomy and for choosing the appropriate management for effective revascularization. Furthermore, cutting balloon angioplasty prior to stenting is useful for preventing the longitudinal extension of the intramural hematoma and avoiding unnecessary stent implantation.
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spelling pubmed-60646892018-07-30 Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery Noguchi, Masahiko Obunai, Kotaro Fukui, Yu Okumura, Hiroshi Watanabe, Hiroyuki Intern Med Case Report We report a case of percutaneous coronary intervention for spontaneous multi-vessel coronary artery dissection including the left main coronary artery. This case suggests that intracoronary imaging is useful for understanding the complex anatomy and for choosing the appropriate management for effective revascularization. Furthermore, cutting balloon angioplasty prior to stenting is useful for preventing the longitudinal extension of the intramural hematoma and avoiding unnecessary stent implantation. The Japanese Society of Internal Medicine 2018-02-09 2018-07-01 /pmc/articles/PMC6064689/ /pubmed/29434132 http://dx.doi.org/10.2169/internalmedicine.0177-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Noguchi, Masahiko
Obunai, Kotaro
Fukui, Yu
Okumura, Hiroshi
Watanabe, Hiroyuki
Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery
title Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery
title_full Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery
title_fullStr Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery
title_full_unstemmed Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery
title_short Usefulness of Cutting Balloon Angioplasty Prior to Stenting with Intravascular Ultrasound Imaging Guidance for Spontaneous Multi-vessel Coronary Artery Dissection Including the Left Main Coronary Artery
title_sort usefulness of cutting balloon angioplasty prior to stenting with intravascular ultrasound imaging guidance for spontaneous multi-vessel coronary artery dissection including the left main coronary artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064689/
https://www.ncbi.nlm.nih.gov/pubmed/29434132
http://dx.doi.org/10.2169/internalmedicine.0177-17
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