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

被引：6

作者：

Noguchi, Masahiko ^{[1
]}

Obtmai, Kotaro ^{[1
]}

Fukui, Yu ^{[1
]}

Okumura, Hiroshi ^{[1
]}

Watanabe, Hiroyuki ^{[1
]}

机构：

[1] Tokyo Ray Urayasu Ichikawa Med Ctr, Dept Cardiol, Urayasu, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 13期

关键词：

spontaneous coronary artery dissection; left main coronary artery; percutaneous coronary intervention; intravascular ultrasound; cutting balloon angioplasty;

D O I：

10.2169/internalmedicine.0177-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：1867 / 1871

页数：5

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