title: [The role of coronary intervention to coronary artery stenosis in Kawasaki disease].
abstract: One characteristic of coronary artery lesions seen in the acute phase of children with Kawasaki disease is the formation of giant coronary aneurysms, with high-grade stenosis lesion causing calcification both proximal and distal to the coronary aneurysm as patients reach school age. In balloon angioplasty the usual treatment for stenosis lesions, the presence of calcification makes expansion difficult, and bypass surgery is less than ideal in terms of long-term patency. As a result, these patients are usually given drug therapy and told to limit physical activity. The use of rotational atherectomy enables safe catheterization in these Kawasaki patients in lesions where balloon expansion cannot be obtained by balloon angioplasty. Efficacy is maintained over the long term, as well as during development as patients reach school age. It is now known that the presence of Kawasaki disease-like coronary aneurysms is a predictor of in-hospital outcomes in early-onset(patients under 40 years of age) acute coronary syndrome, which suggests the importance of monitoring children with Kawasaki disease coronary aneurysms into adulthood.
authors.forename: Hirovoshi
authors.initials: H
authors.lastname: Yokoi
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D023921:Coronary Stenosis / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000473:pathology; D011379:Prognosis