Visualized plaque debris as a cause of distal embolization after percutaneous coronary intervention in patient with unstable angina.
Procedural complications of percutaneous transluminal coronary angioplasty for unstable angina are higher than for stable angina. We report a case in which coronary angioscopy proved the dislodgment of a large plaque fragment after Cutting Balloon angioplasty and confirmed our suspicion that plaque fragmentation can cause distal embolization.
Sakai
Shunta
S
Department of Internal Medicine, Division of Cardiology, Chiba Hokusoh Hospital, Nippon Medical School, Imba-gun, Chiba, Japan.
Mizuno
Kyoichi
K
Tomimura
Masato
M
Tanabe
Jun
J
Seimiya
Koji
K
Takano
Masamichi
M
Yokoyama
Shinya
S
Ohba
Takayoshi
T
Uemura
Ryota
R
D000368:Aged; D000789:Angina, Unstable / Q000150:complications; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017546:Angioscopy; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D015607:Stents; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*