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
Hauptverfasser: Noguchi, Masahiko, Obunai, Kotaro, Fukui, Yu, Okumura, Hiroshi, Watanabe, Hiroyuki
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container_end_page 1871
container_issue 13
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container_title Internal Medicine
container_volume 57
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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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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