Successful repair of intimal dissection following coronary angioplasty with a 48-hour inflation of spiral inflation coil and local delivery of heparin.
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.
Shimabukuro
M
M
Second Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
Higa
S
S
Shinzato
T
T
Yoshida
H
H
Nagamine
F
F
Takashiba
K
K
Takasu
N
N
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
D000925:Anticoagulants; D006493:Heparin