Tortuous internal mammary artery angioplasty: accordion effect with limitation of flow.
Mechanical straightening of a tortuous vessel during angioplasty has been well described. It can be mistaken for thrombus, dissection or spasm. This report presents a case in which straightening of vessel due to stiff guide wire results in accordion effect and flow limitation.
Premchand
R K
RK
Institut Cardiovasculaire Paris Sud, Institut Hospitalier Jacques Cartier, 6 avenue du Noyer Lambert, 91300 Massy, France. kumarpre@hotmail.com
Loubeyre
C
C
Lefevre
T
T
Benslimane
A
A
Louvard
Y
Y
Morice
M C
MC
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003328:Coronary Thrombosis / Q000175:diagnosis; D003329:Coronary Vasospasm / Q000175:diagnosis; D003937:Diagnosis, Differential; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006322:Heart Aneurysm / Q000175:diagnosis; D006801:Humans; D008297:Male; D008323:Mammary Arteries; D015607:Stents