Korean Circulation Journal

  • 제40권11호
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  • Pages.596-600
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  • 2010
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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A Case of Intra- and Extra-Mural Hematomas During Recanalization for Chronic Total Occlusion

  • Kang, Sun-Young (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Hur, Seung-Ho (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Choi, Hyun-Chul (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Kim, Gyu-Soo (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Cho, Yun-Kyeong (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Han, Chun-Duk (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Park, Hyoung-Seob (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Yoon, Hyuck-Jun (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Kim, Hyung-Seop (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Nam, Chang-Wook (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Kim, Yoon-Nyun (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center) ;
  • Kim, Kwon-Bae (Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center)
  • 투고 : 2010.01.06
  • 심사 : 2010.04.02
  • 발행 : 2010.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

An intramural hematoma is an accumulation of blood between the internal and external elastic membranes within the medial space, whereas an extramural hematoma is a dilution and/or dissemination of blood throughout the adventitia. Intra- and extra-hematomas are observed by intravascular ultrasound during percutaneous coronary intervention (PCI). The patient described herein presented with angina pectoris. Her coronary angiogram showed diffuse narrowing of the mid-left anterior descending artery and total occlusion of the distal right coronary artery (RCA). Intra- and extra-mural hematomas developed during PCI of the RCA; however, the lesions were covered successfully using long drug-eluting stents.

키워드

참고문헌

  1. Maehara A, Mintz GS, Bui AB, et al. Incidence, morphology, angiographic findings, and outcomes of intramural hematomas after percutaneous coronary interventions: an intravascular ultrasound study. Circulation 2002;105:2037-42. https://doi.org/10.1161/01.CIR.0000015503.04751.BD
  2. Mahr P, Ge J, Haude M, Gorge G, Erbel R. Extramural vessel wall hematoma causing a reduced vessel diameter after coronary stenting: diagnosis by intravascular ultrasound and treatment by stent implantation. Cathet Cardiovasc Diagn 1998;43:438-43. https://doi.org/10.1002/(SICI)1097-0304(199804)43:4<438::AID-CCD18>3.0.CO;2-F
  3. Hirose M, Kobayashi Y, Kreps EM, et al. Luminal narrowing due to intramural hematoma shift from left anterior descending coronary artery to left circumflex artery. Catheter Cardiovasc Interv 2004;62:461-5. https://doi.org/10.1002/ccd.20138
  4. Noh HJ, Choi JH, Song YB, et al. Intravascular ultrasound-guided troubleshooting in a large hematoma treated with fenestration using a cutting balloon. Korean Circ J 2009;39:171-4. https://doi.org/10.4070/kcj.2009.39.4.171
  5. Oesterle SN, Limpijankit T, Yeung AC, et al. Ultrasound logic: the value of intracoronary imaging for the interventionist. Catheter Cardiovasc Interv 1999;47:475-90. https://doi.org/10.1002/(SICI)1522-726X(199908)47:4<475::AID-CCD19>3.0.CO;2-V
  6. Mintz GS, Nissen SE, Anderson WD, et al. American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies (IVUS): a report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol 2001;37:1478-92. https://doi.org/10.1016/S0735-1097(01)01175-5
  7. Fujii K, Ochiai M, Mintz GS, et al. Procedural implications of intravascular ultrasound morphologic features of chronic total coronary occlusions. Am J Cardiol 2006;97:1455-62. https://doi.org/10.1016/j.amjcard.2005.11.079
  8. Egglin TK, Dickey KW, Rosenblatt M, Pollak JS. Retrieval of intravascular foreign bodies: experience in 32 cases. AJR Am J Roentgenol 1995;164:1259-64. https://doi.org/10.2214/ajr.164.5.7717243
  9. Goldberg SL, Colombo A, Maiello L, Borrione M, Finci L, Almagor Y. Intracoronary stent insertion after balloon angioplasty of chronic total occlusions. J Am Coll Cardiol 1995;26:713-9. https://doi.org/10.1016/0735-1097(95)00219-T
  10. Murphy DA, Craver JM, King SB 3rd. Distal coronary artery dissection following percutaneous transluminal coronary angioplasty. Ann Thorac Surg 1984;37:473-8. https://doi.org/10.1016/S0003-4975(10)61134-4
  11. Sanchez-Recalde A, Moreno R, Jimenez-Valero S. Stenting of spontaneous intramural coronary haematoma: long-term consequences. Eur Heart J 2008;29:1593. https://doi.org/10.1093/eurheartj/ehm612
  12. Souteyrand G, Motreff P. Acute vessel occlusion after coronary stenting: intravascular ultrasound diagnosis of extensive intramural haematoma. Eur Heart J 2008;29:9.
  13. Werner GS, Figulla HR, Grosse W, Kreuzer H. Extensive intramural hematoma as the cause of failed coronary angioplasty: diagnosis by intravascular ultrasound and treatment by stent implantation. Cathet Car-diovasc Diagn 1995;36:173-8. https://doi.org/10.1002/ccd.1810360219