Intravascular Imaging-guided Percutaneous Coronary Intervention for Braid-like Coronary Stenosis in a Patient with Prior Myocardial Infarction
Journal Title: Cardiology and Angiology: An International Journal - Year 2017, Vol 6, Issue 4
Abstract
A 77-year-old man was admitted to our hospital because of chest oppression on efforts. He had developed an inferior acute myocardial infarction and had undergone percutaneous coronary intervention (PCI) for the right coronary artery (RCA) 10 years earlier. Significant stenoses were detected in the proximal left anterior descending artery (LAD), obtuse marginal artery (OM), and proximal RCA by coronary angiography. The coronary angiography revealed a braid-like stenosis in the proximal RCA. Because his symptoms continued even after PCI for LAD and OM lesions, we performed PCI for the RCA lesion. OCT revealed the most severe stenosis located proximally and a stenosis with multiple channels located distally. The proximal stenosis had thick homogeneous and high -intensity septum. In contrast, the distal stenosis had multiple lumens separated by high-intensity thin septa. On the other hand, IVUS clearly showed that different channels were connected to the different side branches at both edges of the stenosis, and they converged into a single lumen proximally and distally. IVUS and OCT proved beneficial for the evaluation of coronary artery structure with a braid-like appearance. We performed PCI under the guidance of OCT.
Authors and Affiliations
Shigenori Ito
Keywords
Related Articles
- EP ID EP305795
- DOI 10.9734/CA/2017/35792
- Views 84
- Downloads 0
No Synergic Effect of Sildenafil Administration on Exercise Capacity Improvement in a Fontan Patient with Regular Exercise Training
In Fontan patients, reduced exercise capacity due to diminished cardiac output is a common finding with important prognostic implications. Beneficial effects have been shown for sildenafil treatment and regular exercise,...
Recanalization of TASC C/D Iliac Occlusion: An Improved Technique through the Radio-brachial Access
We describe a technique for reanalyzing total chronic long occlusion of the iliac arteries (TASC/D) through the radio-brachial approach. After having obtained the arterial approach, a 6F 90cm long Shuttle sheath (Cook G...
Mean Arterial Pressure Classification: A Better Tool for Statistical Interpretation of Blood Pressure Related Risk Covariates
Purpose: Both Systolic blood pressure (SBP) and diastolic blood pressure (DBP) are equally important to analyze the associations between blood pressure and its associated risk covariates. Quantitative analyses however, s...
Factors Influencing the Risk of Death among Patients with Heart Failure
The purpose of this study was to investigate the impact of risk factors on the death of patients with heart failure in a cohort of patients hospitalized with heart failure disease. In this paper we used chi-square tests...
Differential Enthalpy, Factor of Cardiac Power and Precursor of Work Power from the Nodal Tissue
Background: The blood can be considered as a real fluid flowing in fixed vibrating myocardial canal. Its ejection during the left ventricular contraction is the phenomenon hereby studied. The left ventricle has been take...