Different types of coronary artery wall injury following cutting balloon angioplasty.
The cutting balloon is a device that enlarges atherosclerotic coronary arteries by a combination of plaque incision and dilation. This peculiar mechanism would account for a better immediate result achieved at the cost of minimal vessel wall trauma. Coronary perforation is however a potential complication. No systematic data have been reported as to which angiographic lesion characteristic may predict the occurrence of complications after cutting balloon angioplasty. This case report study deals with different types of coronary artery wall injury complicating cutting balloon angioplasty and detected by intravascular ultrasound.
Montorsi
Piero
P
Istituto di Cardiologia Università degli Studi Centro Cardiologico Monzino Via Parea, 4 20138 Milana. piero.montorsi@cardiologicomonzino.it
Galli
Stefano
S
Fabbiocchi
Franco
F
Trabattoni
Daniela
D
Grancini
Luca
L
Ravagnani
Paolo
P
Bartorelli
Antonio L
AL
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D018084:Ultrasonography, Interventional; D014950:Wounds, Penetrating / Q000209:etiology*