Author/Authors :
Funayama, Naohiro Hokkaido Cardiovascular Hospital, Hokkaido, Japan , Konishi, Takao Hokkaido Cardiovascular Hospital, Hokkaido, Japan , Yamamoto, Tadashi Hokkaido Cardiovascular Hospital, Hokkaido, Japan , Hotta, Daisuke Hokkaido Cardiovascular Hospital, Hokkaido, Japan
Abstract :
The optimal management of coronary intramural hematoma has not been defined. We described a case in which coronary
occlusion developed due to an intramural hematoma after percutaneous coronary intervention for mid left circumflex artery (LCX).
Intravascular ultrasound (IVUS) demonstrated the progression of the intramural hematoma and a totally compressed true lumen.
Our approach was based on fenestration with a scoring balloon (NSE Alpha, Goodman, Japan), which allowed the deployment of
an additional stent to be avoided. In conclusion, this management can be effectively and safely performed.
Keywords :
Coronary Artery Hematoma , Fenestration , NSE AlphaD , Scoring Balloon
