A case of coronary lesion with lotus root appearance treated by percutaneous coronary intervention with intravascular ultrasound guidance
A case of coronary lesion with lotus root appearance treated by percutaneous coronary intervention with intravascular ultrasound guidance
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DOI：
10.1007/s12928-010-0022-3
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发表时间：
2010-07-01
影响因子：
3.2
通讯作者：
Sakamoto, Susumu
中科院分区：
文献类型：
--
作者：
Nakanishi, Tomoyuki;Kawata, Masahito;Sakamoto, Susumu
66岁男性行经皮冠状动脉介入治疗（PCI）。冠状动脉造影显示弥漫性病变，呈莲藕状，左前降支严重狭窄。血管内超声（IVUS）观察到多条通道。不同的通道分别连接到第一斜支、第一间隔支和LAD管腔。为了防止侧支阻塞，我们用锥形导丝从LAD主通道连接分支，然后在没有侧支阻塞的情况下进行球囊扩张和支架置入。IVUS检查结果对有莲藕外观病变的PCI有帮助。
A 66-year-old man underwent percutaneous coronary intervention (PCI). Coronary angiography showed a diffuse lesion with lotus root appearance and severe stenosis in the left anterior descending artery (LAD). Multiple channels were observed by intravascular ultrasound (IVUS). Different channels were connected to the first diagonal branch, the first septal branch and LAD lumen separately. To prevent obstruction of side branches, we made connections to the branches from the main channel of LAD with tapered-tip guide wire, followed by balloon dilatation and stenting without side branch obstruction. IVUS findings were helpful for the PCI with a lotus root appearance lesion.