Progressive Retrograde Acute Coronary Occlusion after Gianturco-Roubin Stenting
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概要
- 論文の詳細を見る
We report a case of progressive retrograde acute coronary occlusion after Gianturco-Roubin (GR) stenting in a patient with two vessel diseases. A GR stent was implanted in the proximal part of the left anterior descending artery (LAD) because of suboptimal results of percutaneous transluminal coronary angioplasty (PTCA). More than 90% stenosis occurred in the non-stented region just distal to the edge of the GR stent. Another stenosis ensued mid-stent after PTCA was performed for that lesion. Acute occlusion from the mid- LAD to the main trunk progressed immediately after PTCA for the LAD. The patient died of cardiogenic shock despite repeated bail-out PTCA procedures for both the main trunk and the proximal LAD. Acute retrograde occlusion might be caused by in-stent thrombosis, or acute recoil of GR stent associated with insufficient stent dilatation and acute coronary arterial elastic recoil.
- 長崎大学の論文
著者
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Noriyuki Kose
Division Of Cardiology Ebisumachi Hospital
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Yoshiyuki Miyahara
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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Hideki FUJIWARA
Division of Cardiology, Ebisumachi Hospital
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Fujiwara Hideki
Division Of Anesthesiology Ebisumachi Hospital
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Hideki Fujiwara
Division Of Cardiology Ebisumachi Hospital
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Miyahara Yoshiyuki
Second Department Of Internal Medicine Nagasaki University Of School Medicine
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Kose Noriyuki
Division of Cardiology, Ebisumachi Hospital
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