Abstract
A 69-year-old female with stable angina pectoris underwent percutaneous coronary intervention for a chronic total occlusion (CTO) in the left anterior descending coronary artery (LAD). A semi-compliant balloon catheter (BC) ruptured in the CTO lesion, causing a hematoma due to coronary artery dissection in the distal LAD. A new scoring BC; NSE Alpha (Goodman, Aichi, Japan) was selected for use after intravascular imaging. The NSE Alpha contains 3 triangular nylon elements along the outside of the balloon. The hematoma was treated prior to successful implantation of a drug-eluting stent. Coronary artery hematoma as a complication in percutaneous coronary intervention is rare but is sometimes associated with coronary artery obstruction which may result in further complications such as acute myocardial infarction. Cutting balloon angioplasty using intravascular imaging is a useful treatment strategy to resolve a hematoma. However, the cutting balloon catheter is associated with poor deliverability to locations such as distal to the left anterior descending coronary artery. For these types of cases, a new scoring balloon catheter has shown to be efficacious and safe in resolving coronary artery hematomas.
| Original language | English |
|---|---|
| Pages (from-to) | 408-411 |
| Number of pages | 4 |
| Journal | International Journal of Clinical and Experimental Medicine |
| Volume | 9 |
| Issue number | 1 |
| Publication status | Published - Jan 30 2016 |
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Keywords
- Complication
- Coronary artery hematoma
- Intravascular imaging
- Percutaneous coronary intervention
- Scoring balloon catheter
ASJC Scopus subject areas
- Medicine(all)
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Coronary artery hematoma in a case of chronic total occlusion treated with intravascular imaging and a novel scoring balloon catheter. / Dan, Kazuhiro; Nakahama, Makoto; Kagawa, Kenzo; Itoh, Hiroshi.
In: International Journal of Clinical and Experimental Medicine, Vol. 9, No. 1, 30.01.2016, p. 408-411.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Coronary artery hematoma in a case of chronic total occlusion treated with intravascular imaging and a novel scoring balloon catheter
AU - Dan, Kazuhiro
AU - Nakahama, Makoto
AU - Kagawa, Kenzo
AU - Itoh, Hiroshi
PY - 2016/1/30
Y1 - 2016/1/30
N2 - A 69-year-old female with stable angina pectoris underwent percutaneous coronary intervention for a chronic total occlusion (CTO) in the left anterior descending coronary artery (LAD). A semi-compliant balloon catheter (BC) ruptured in the CTO lesion, causing a hematoma due to coronary artery dissection in the distal LAD. A new scoring BC; NSE Alpha (Goodman, Aichi, Japan) was selected for use after intravascular imaging. The NSE Alpha contains 3 triangular nylon elements along the outside of the balloon. The hematoma was treated prior to successful implantation of a drug-eluting stent. Coronary artery hematoma as a complication in percutaneous coronary intervention is rare but is sometimes associated with coronary artery obstruction which may result in further complications such as acute myocardial infarction. Cutting balloon angioplasty using intravascular imaging is a useful treatment strategy to resolve a hematoma. However, the cutting balloon catheter is associated with poor deliverability to locations such as distal to the left anterior descending coronary artery. For these types of cases, a new scoring balloon catheter has shown to be efficacious and safe in resolving coronary artery hematomas.
AB - A 69-year-old female with stable angina pectoris underwent percutaneous coronary intervention for a chronic total occlusion (CTO) in the left anterior descending coronary artery (LAD). A semi-compliant balloon catheter (BC) ruptured in the CTO lesion, causing a hematoma due to coronary artery dissection in the distal LAD. A new scoring BC; NSE Alpha (Goodman, Aichi, Japan) was selected for use after intravascular imaging. The NSE Alpha contains 3 triangular nylon elements along the outside of the balloon. The hematoma was treated prior to successful implantation of a drug-eluting stent. Coronary artery hematoma as a complication in percutaneous coronary intervention is rare but is sometimes associated with coronary artery obstruction which may result in further complications such as acute myocardial infarction. Cutting balloon angioplasty using intravascular imaging is a useful treatment strategy to resolve a hematoma. However, the cutting balloon catheter is associated with poor deliverability to locations such as distal to the left anterior descending coronary artery. For these types of cases, a new scoring balloon catheter has shown to be efficacious and safe in resolving coronary artery hematomas.
KW - Complication
KW - Coronary artery hematoma
KW - Intravascular imaging
KW - Percutaneous coronary intervention
KW - Scoring balloon catheter
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M3 - Article
AN - SCOPUS:84957584850
VL - 9
SP - 408
EP - 411
JO - International Journal of Clinical and Experimental Medicine
JF - International Journal of Clinical and Experimental Medicine
SN - 1940-5901
IS - 1
ER -