title: Successful repair of intimal dissection following coronary angioplasty with a 48-hour inflation of spiral inflation coil and local delivery of heparin.
abstract: We report on an unusual patient with a threatened occlusive dissection, in whom prolonged (48-hr) inflation of a balloon catheter with localized heparin infusion proved successful. This intracoronary infusion catheter maintained distal coronary flow on a unique spiral coil design, and may provide an alternative or a bridge to emergency operation or stent implantation.
authors.affiliation: Second Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Shimabukuro
authors.forename: S
authors.initials: S
authors.lastname: Higa
authors.forename: T
authors.initials: T
authors.lastname: Shinzato
authors.forename: H
authors.initials: H
authors.lastname: Yoshida
authors.forename: F
authors.initials: F
authors.lastname: Nagamine
authors.forename: K
authors.initials: K
authors.lastname: Takashiba
authors.forename: N
authors.initials: N
authors.lastname: Takasu
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D000925:Anticoagulants / Q000627:therapeutic use*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D017023:Coronary Angiography; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D015607:Stents
chemical_list: D000925:Anticoagulants; D006493:Heparin