[Simulation of a coronary vascular complication in transluminal coronary angioplasty by reversible intima folding].
The injection of contrast material into the right coronary artery via a guiding catheter while a Harzler dilatation catheter had already been introduced revealed an inhomogeneous filling of the vessel suspicious of an extensive thrombosis or a dissection. On completion of the angioplasty and removal of the balloon catheter, the artery again filled homogeneously showing a good angioplasty result. It is concluded that a complication had only been faked during angioplasty due to intimal folding and subsequent flow obstruction following the insertion of the balloon catheter.
Kober
G
G
Abteilung für Kardiologie, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt/Main.
Spies
H F
HF
Scherer
D
D
D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D000787:Angina Pectoris / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000628:therapy*; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged
Vortäuschung einer koronaren Gefässkomplikation während der transluminalen koronaren Angioplastik durch reversible Intimafaltung.