Directional coronary atherectomy for failed angioplasty due to occlusive coronary dissection.
We describe a case in which coronary balloon angioplasty failed to improve sequential lesions and resulted in a long area of dissection between the stenoses. Directional coronary atherectomy of the occlusive dissection produced excellent angiographic improvement to achieve a successful result and avoid the need for urgent coronary bypass surgery. Directional coronary atherectomy represents a potentially useful treatment for PTCA-induced coronary dissection.
Warner
M
M
Department of Medicine, Medical College of Virginia, Richmond.
Chami
Y
Y
Johnson
D
D
Cowley
M J
MJ
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged