First recanalization of a coronary artery chronic total obstruction in an 11-year-old child with Kawasaki disease sequelae using the CROSSER catheter.
This is a case of an 11(1/2)-year-old diagnosed with Kawasaki disease at 6 months of age. Distal left main coronary aneurysm involving the proximal anterior descending and circumflex had progressed into a chronic total occlusion. We report the first application of a novel percutaneous technique using the CROSSER catheter system in a child. The CROSSER is a high-frequency mechanical vibration catheter-based technology developed to safely penetrate through calcific and noncalcific coronary artery occlusions. This is also the first Kawasaki disease patient to benefit from this technology; in this disease, coronary artery stenosis is typically associated with heavy calcification.
Dahdah
N
N
Division of Pediatric Cardiology, Sainte-Justine University Hospital, Montreal, Quebec, Canada. ndahdah@pol.net
Ibrahim
R
R
Cannon
L
L
D002114:Calcinosis; D006328:Cardiac Catheterization / Q000295:instrumentation; D002404:Catheterization; D002648:Child; D003097:Collateral Circulation; D003323:Coronary Aneurysm / Q000473:pathology; D017023:Coronary Angiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D009204:Myocardial Revascularization / Q000379:methods*; D018084:Ultrasonography, Interventional
Circulation. 1996 Sep 15;94(6):1379-85
8822996
Catheter Cardiovasc Interv. 2006 Jul;68(1):29-35
16764006
Circulation. 2004 Oct 26;110(17):2747-71
15505111
Pediatr Int. 2001 Oct;43(5):558-62
11737728
Circulation. 2004 Sep 14;110(11 Suppl 1):II61-6
15364840
Catheter Cardiovasc Interv. 2006 Mar;67(3):344-8
16489559
Circulation. 2005 Aug 23;112(8):e105-7
16116061
J Pediatr. 2000 Aug;137(2):181-6
10931409
Circulation. 2002 Jun 25;105(25):3004-10
12081995
Catheter Cardiovasc Interv. 2005 Oct;66(2):173-7
16144017
J Invasive Cardiol. 2006 Mar;18(3):85-91
16598103
Circulation. 2003 Aug 19;108(7):788-94
12900339
N Engl J Med. 2002 Jun 6;346(23):1773-80
12050336
Acta Pathol Jpn. 1986 Oct;36(10):1513-27
3799188
Pediatr Cardiol. 2005 Jan-Feb;26(1):73-9
15136903