Intravascular Ultrasound-Guided Troubleshooting in a Large Hematoma Treated With Fenestration Using a Cutting Balloon

Intramural hematoma formation is not a well-studied complication of percutaneous coronary intervention. We describe a patient with stable angina who developed an intramural hematoma during elective percutaneous coronary intervention (PCI) in the right coronary artery (RCA). Total occlusion with dens...

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Published inKorean circulation journal Vol. 39; no. 4; pp. 171 - 174
Main Authors Noh, Hye Jin, Choi, Jin-Ho, Song, Young Bin, Jo, Hyun Chul, Yang, Ji Hyun, Kim, Sang Min, Lee, Hyun Jong, Choi, Joon Hyuk, Choi, Soo Hee, Hahn, Joo Yong, Choi, Seung Hyuk, Gwon, Hyeon Cheol
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Cardiology 01.04.2009
대한심장학회
Subjects
Case Report
내과학
Angioplasty
Intravascular ultrasonography
Hematoma
Online AccessGet full text
ISSN1738-5520
1738-5555
1738-5555
DOI10.4070/kcj.2009.39.4.171

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Summary:Intramural hematoma formation is not a well-studied complication of percutaneous coronary intervention. We describe a patient with stable angina who developed an intramural hematoma during elective percutaneous coronary intervention (PCI) in the right coronary artery (RCA). Total occlusion with dense dye staining developed a long way from the distal RCA, near the posterior descending artery bifurcation site. The true lumen was compressed by the enlarged, tense, false lumen. The patient was successfully treating with intravascular ultrasound-guided fenestration using a cutting balloon, and a stent was implanted in the distal RCA.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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G704-000708.2009.39.4.001
ISSN:1738-5520
1738-5555
1738-5555
DOI:10.4070/kcj.2009.39.4.171