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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Veröffentlicht in: | Internal Medicine 2018/07/01, Vol.57(13), pp.1867-1871 |
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creator | Noguchi, Masahiko Obunai, Kotaro Fukui, Yu Okumura, Hiroshi Watanabe, Hiroyuki |
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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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0177-17</identifier><identifier>PMID: 29434132</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Angioplasty ; Angioplasty, Balloon, Coronary - methods ; Balloon treatment ; Case Report ; Case reports ; Coronary artery ; Coronary Vessel Anomalies - surgery ; Coronary vessels ; cutting balloon angioplasty ; Dissection ; Hematoma ; Hematoma - surgery ; Humans ; Implantation ; Implants ; Internal medicine ; intravascular ultrasound ; left main coronary artery ; Male ; Middle Aged ; percutaneous coronary intervention ; Percutaneous Coronary Intervention - methods ; spontaneous coronary artery dissection ; Stents ; Treatment Outcome ; Ultrasonography - methods ; Ultrasound ; Vascular Diseases - congenital ; Vascular Diseases - surgery ; Veins & arteries</subject><ispartof>Internal Medicine, 2018/07/01, Vol.57(13), pp.1867-1871</ispartof><rights>2018 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><rights>Copyright © 2018 by The Japanese Society of Internal Medicine 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-ffdf08396fd5edcb19f855df7a2f775141fc54ed174d6d6cfd74b8a9d0a6dd633</citedby><cites>FETCH-LOGICAL-c610t-ffdf08396fd5edcb19f855df7a2f775141fc54ed174d6d6cfd74b8a9d0a6dd633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064689/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064689/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29434132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noguchi, Masahiko</creatorcontrib><creatorcontrib>Obunai, Kotaro</creatorcontrib><creatorcontrib>Fukui, Yu</creatorcontrib><creatorcontrib>Okumura, Hiroshi</creatorcontrib><creatorcontrib>Watanabe, Hiroyuki</creatorcontrib><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><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><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.</description><subject>Angioplasty</subject><subject>Angioplasty, Balloon, Coronary - methods</subject><subject>Balloon treatment</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Coronary artery</subject><subject>Coronary Vessel Anomalies - surgery</subject><subject>Coronary vessels</subject><subject>cutting balloon angioplasty</subject><subject>Dissection</subject><subject>Hematoma</subject><subject>Hematoma - surgery</subject><subject>Humans</subject><subject>Implantation</subject><subject>Implants</subject><subject>Internal medicine</subject><subject>intravascular ultrasound</subject><subject>left main coronary artery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>percutaneous coronary intervention</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>spontaneous coronary artery dissection</subject><subject>Stents</subject><subject>Treatment Outcome</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><subject>Vascular Diseases - congenital</subject><subject>Vascular Diseases - surgery</subject><subject>Veins & arteries</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkluPEyEUxydG466rX8GQ-OLLrDDMMMOLSa26NulmTdY-E8qlpaFQudT0K_qpZGxttL4cAvzO_1yrCiB42yBC3xmXVHDcbpU0wjh1C1Hf16h_Ul0j3NK6b3D3tLqGFA11U8xV9SLGDYR46GnzvLpqaItbhJvr6uciKp2tUzECr8E0p2TcCnzg1nrvwMStjN9ZHtMBfA3GB5A8eEzK_aZ-mLQGM5cC3_MosuUBLGy5RZ-dBLMtX43UXTaSO6GALu6PO-8Sd8rnCO6zTabel9DKgqkP3vFwAJNQajuAj6Y8i2RKEjMnbJajVForMFc6gXtu3KXLy-qZ5jaqV6fzplp8_vRt-qWeP9zNppN5LQiCqdZaajhgSrTslBRLRPXQdVL3vNF936EWadG1SqK-lUQSoWXfLgdOJeRESoLxTfX-qLvLyzIAocYGWLYLZluSYZ4b9u-PM2u28ntGIGnJQIvA25NA8N-zioltTRTK2mNfWAMhoohA2hX0zQW68XmcfKGallCMICaFGo6UCD7GoPQ5GQTZuDDscmHYuDAM9cX19d_FnB3_bEgBHo7AJia-UmeAh2SEVf8rd0UXj_YU4kyKNQ9MOfwLlW3m3Q</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Noguchi, Masahiko</creator><creator>Obunai, Kotaro</creator><creator>Fukui, Yu</creator><creator>Okumura, Hiroshi</creator><creator>Watanabe, Hiroyuki</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180701</creationdate><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><author>Noguchi, Masahiko ; Obunai, Kotaro ; Fukui, Yu ; Okumura, Hiroshi ; Watanabe, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-ffdf08396fd5edcb19f855df7a2f775141fc54ed174d6d6cfd74b8a9d0a6dd633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Angioplasty</topic><topic>Angioplasty, Balloon, Coronary - methods</topic><topic>Balloon treatment</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Coronary artery</topic><topic>Coronary Vessel Anomalies - surgery</topic><topic>Coronary vessels</topic><topic>cutting balloon angioplasty</topic><topic>Dissection</topic><topic>Hematoma</topic><topic>Hematoma - surgery</topic><topic>Humans</topic><topic>Implantation</topic><topic>Implants</topic><topic>Internal medicine</topic><topic>intravascular ultrasound</topic><topic>left main coronary artery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>spontaneous coronary artery dissection</topic><topic>Stents</topic><topic>Treatment Outcome</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><topic>Vascular Diseases - congenital</topic><topic>Vascular Diseases - surgery</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Noguchi, Masahiko</creatorcontrib><creatorcontrib>Obunai, Kotaro</creatorcontrib><creatorcontrib>Fukui, Yu</creatorcontrib><creatorcontrib>Okumura, Hiroshi</creatorcontrib><creatorcontrib>Watanabe, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noguchi, Masahiko</au><au>Obunai, Kotaro</au><au>Fukui, Yu</au><au>Okumura, Hiroshi</au><au>Watanabe, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>57</volume><issue>13</issue><spage>1867</spage><epage>1871</epage><pages>1867-1871</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>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.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>29434132</pmid><doi>10.2169/internalmedicine.0177-17</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Angioplasty Angioplasty, Balloon, Coronary - methods Balloon treatment Case Report Case reports Coronary artery Coronary Vessel Anomalies - surgery Coronary vessels cutting balloon angioplasty Dissection Hematoma Hematoma - surgery Humans Implantation Implants Internal medicine intravascular ultrasound left main coronary artery Male Middle Aged percutaneous coronary intervention Percutaneous Coronary Intervention - methods spontaneous coronary artery dissection Stents Treatment Outcome Ultrasonography - methods Ultrasound Vascular Diseases - congenital Vascular Diseases - surgery Veins & arteries |
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 |
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