title: Intravascular ultrasound-guided troubleshooting in a large hematoma treated with fenestration using a cutting balloon.
abstract: Intramural hematoma formation is not a well-studied complication of percutaneous coronary intervention. We describe a patient with stable angina who developed an intramural hematoma during elective percutaneous coronary intervention (PCI) in the right coronary artery (RCA). Total occlusion with dense dye staining developed a long way from the distal RCA, near the posterior descending artery bifurcation site. The true lumen was compressed by the enlarged, tense, false lumen. The patient was successfully treating with intravascular ultrasound-guided fenestration using a cutting balloon, and a stent was implanted in the distal RCA.
authors: Division of Cardiology, Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Hye Jin
authors: HJ
authors: Noh
authors: Jin-Ho
authors: JH
authors: Choi
authors: Young Bin
authors: YB
authors: Song
authors: Hyun Chul
authors: HC
authors: Jo
authors: Ji Hyun
authors: JH
authors: Yang
authors: Sang Min
authors: SM
authors: Kim
authors: Hyun Jong
authors: HJ
authors: Lee
authors: Joon Hyuk
authors: JH
authors: Choi
authors: Soo Hee
authors: SH
authors: Choi
authors: Joo Yong
authors: JY
authors: Hahn
authors: Seung Hyuk
authors: SH
authors: Choi
authors: Hyeon Cheol
authors: HC
authors: Gwon