Intravascular ultrasound-guided troubleshooting in a large hematoma treated with fenestration using a cutting balloon.
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.
Noh
Hye Jin
HJ
Division of Cardiology, Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Choi
Jin-Ho
JH
Song
Young Bin
YB
Jo
Hyun Chul
HC
Yang
Ji Hyun
JH
Kim
Sang Min
SM
Lee
Hyun Jong
HJ
Choi
Joon Hyuk
JH
Choi
Soo Hee
SH
Hahn
Joo Yong
JY
Choi
Seung Hyuk
SH
Gwon
Hyeon Cheol
HC