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http://dx.doi.org/10.4070/kcj.2010.40.11.596

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)
Publication Information
Korean Circulation Journal / v.40, no.11, 2010 , pp. 596-600 More about this Journal
Abstract
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.
Keywords
Hematoma; Ultrasonography; interventional;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Souteyrand G, Motreff P. Acute vessel occlusion after coronary stenting: intravascular ultrasound diagnosis of extensive intramural haematoma. Eur Heart J 2008;29:9.
2 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.   DOI   ScienceOn
3 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.   DOI
4 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.   DOI   ScienceOn
5 Sanchez-Recalde A, Moreno R, Jimenez-Valero S. Stenting of spontaneous intramural coronary haematoma: long-term consequences. Eur Heart J 2008;29:1593.   DOI   ScienceOn
6 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.   DOI   ScienceOn
7 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.   DOI   ScienceOn
8 Murphy DA, Craver JM, King SB 3rd. Distal coronary artery dissection following percutaneous transluminal coronary angioplasty. Ann Thorac Surg 1984;37:473-8.   DOI   ScienceOn
9 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.   DOI   ScienceOn
10 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.   DOI   ScienceOn
11 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.   DOI   ScienceOn
12 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.   DOI   ScienceOn
13 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.   DOI   ScienceOn