Bifurcation Intervention in Single Coronary Artery: Kissing Balloon Inflation Using Guide Extension Catheter and 0.014/0.010-Inch System

A 77-year-old man was referred to our hospital for angina on effort. Coronary angiography and computed tomography demonstrated a single coronary artery arising from the right sinus of Valsalva. The left circumflex coronary artery (LCx) anomalously deriving near from the ostium of right coronary arte...

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Veröffentlicht in:International Heart Journal 2018/11/30, Vol.59(6), pp.1458-1461
Hauptverfasser: Shikuma, Akira, Shiraishi, Jun, Koshi, Nariko, Matsubara, Yuki, Nishimura, Tetsuro, Shoji, Keisuke, Ito, Daisuke, Kimura, Masayoshi, Kishita, Eigo, Nakagawa, Yusuke, Hyogo, Masayuki, Sawada, Takahisa
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container_end_page 1461
container_issue 6
container_start_page 1458
container_title International Heart Journal
container_volume 59
creator Shikuma, Akira
Shiraishi, Jun
Koshi, Nariko
Matsubara, Yuki
Nishimura, Tetsuro
Shoji, Keisuke
Ito, Daisuke
Kimura, Masayoshi
Kishita, Eigo
Nakagawa, Yusuke
Hyogo, Masayuki
Sawada, Takahisa
description A 77-year-old man was referred to our hospital for angina on effort. Coronary angiography and computed tomography demonstrated a single coronary artery arising from the right sinus of Valsalva. The left circumflex coronary artery (LCx) anomalously deriving near from the ostium of right coronary artery exhibited severe stenosis in the bifurcation of the obtuse marginal branch. Although the bifurcation lesion still remains a therapeutic challenge for guide extension catheter (GEC)-based percutaneous coronary intervention, under the guidance of intravascular ultrasound imaging, we successfully implanted an everolimus-eluting stent at the bifurcated LCx lesion and performed kissing balloon inflation using 0.014- and 0.010-inch systems through GECs.
doi_str_mv 10.1536/ihj.17-675
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Heart J.</addtitle><date>2018-11-30</date><risdate>2018</risdate><volume>59</volume><issue>6</issue><spage>1458</spage><epage>1461</epage><pages>1458-1461</pages><issn>1349-2365</issn><eissn>1349-3299</eissn><abstract>A 77-year-old man was referred to our hospital for angina on effort. Coronary angiography and computed tomography demonstrated a single coronary artery arising from the right sinus of Valsalva. The left circumflex coronary artery (LCx) anomalously deriving near from the ostium of right coronary artery exhibited severe stenosis in the bifurcation of the obtuse marginal branch. 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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese
subjects Angina
Angiography
Balloon treatment
Bifurcation lesion
Computed tomography
Coronary artery
Coronary vessels
Implants
Intravascular ultrasound
Percutaneous coronary intervention
Stenosis
Stents
Ultrasound
title Bifurcation Intervention in Single Coronary Artery: Kissing Balloon Inflation Using Guide Extension Catheter and 0.014/0.010-Inch System
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