Acute occlusion due to coronary dissection as a PTCA complication resolved by reentry achieved by pulling an inflated balloon in the true lumen.
We experienced 2 patients in whom conventional percutaneous methods were not useful for acute occlusions sequel to coronary angioplasty. Acute occlusions seemed to be caused by large dissections. Pulling an inflated balloon at the dissected lesions achieved reentry from the false lumen to the true lumen, thus resolving collapse of the true lumen and recanalizing the occluded coronary artery.
Department of Cardiology, Niigata City General Hospital, Japan.
H
H
Oda
N
N
Tanabe
T
T
Toeda
T
T
Miida
N
N
Higuma
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001794:Blood Pressure; D003327:Coronary Disease / Q000503:physiopathology / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged