title: The usefulness of a perfusion balloon in a case of late stent thrombosis that caused simultaneous double vessel occlusion.
abstract: Simultaneous stent thrombosis in different coronary arteries requires rapid management. A 70-year-old man experienced simultaneous stent thrombosis at the left anterior descending and circumflex arteries. We used a perfusion balloon to prevent thrombus production at the left anterior descending artery, and completed percutaneous coronary intervention at the left circumflex artery in 10 min. The perfusion balloon was dilated during the procedure. In both vessels, Thrombolysis in myocardial infarction flow grade 3 was achieved after balloon deflation. Thus, use of a perfusion balloon for simultaneous double vessel occlusion helped avoid the need for redundant stent placement and shortened the procedure time.
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan. keisuke2018@gmail.com.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Nakabayashi
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Hisayuki
authors.initials: H
authors.lastname: Okada
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Ryotaro
authors.initials: R
authors.lastname: Asano
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Nakazawa
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Hidekimi
authors.initials: H
authors.lastname: Nomura
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Oka
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D023921:Coronary Stenosis / Q000175:diagnosis / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D006083:Graft Occlusion, Vascular / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D010477:Perfusion / Q000295:instrumentation*
keywords: Dual antiplatelet therapy; Perfusion balloon; Simultaneous double vessel occlusion; Stent thrombosis