No-Reflow Following Dilatation of a Coronary Lesion With a Large Lipid Core

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概要

• 論文の詳細を見る

• Radiolucent findings of coronary angiogram are believed to usually represent intracoronary thrombus, but in the present case, were atheromatous plaque with a large lipid core. A 62-year-old man who suffered from an inferior acute myocardial infarction was admitted to hospital 6 h after onset. The first cine angiograms showed TIMI-1 flow in the distal-portion of the right coronary artery, so thrombectomy was initially carried out and TIMI-2 flow achieved. However, the radiolucent lesion did not disappear and so adjunctive mechanical dilatation of the lesion was prformed, which resulted in 'no-reflow' (TIMI-0). Finally, aspiration of the material from the stagnated lesion was attempted and immediately obtained TIMI-3 flow. The retrieved materials were macrophages (foam cells) and many cholesterol crystals, both of which are considered to be atheromatous gruel. Therefore, the sudden flow reduction following percutaneous transluminal coronary angioplasty was caused by mechanical disruption of an atheromatous plaque with a large lipid core.

• 社団法人日本循環器学会の論文
• 2002-06-20

著者

• Kitakaze Masafumi

  Division Of Cardiology National Cardiovascular Center

• Kitakaze Masafumi

  Department Of Cardiology National Cardiovascular Center

• Nakano Susumu

  Department Of Advanced Cardiovascular Therapeutics Osaka University Graduate School Of Medicine

• Fujita Masashi

  Cardiovascular medicine, Osaka University

• Fujita Masashi

  Cardiovascular Center Kansai Rosai Hospital

• Watanabe Tetsuya

  Cardiovascular Division Kansai Rosai Hospital

• Matsuura Kaoru

  国立循環器病センター

• Hon Masatsugu

  Department of Internal Medicine and Therapeutics, Osaka University Graduate School of Medicine

• Ohara Tomoki

  Cardiovascular Division, Kansai Rosai Hospital

• Morozumi Takakazu

  Cardiovascular Division Kansai Rosai Hospital

• Ohara Tomoki

  Kansai Rosai Hospital

• Nagata Seiki

  Cardiology National Cardiovascular Center

• Ohara Tomoki

  Center For Advanced Medical Engineering And Informatics Osaka University

• Nanto Shinsuke

  Cardiovascular Division

• Nanto Shinsuke

  Cardiac Intensive Care Unit Of Osaka Police Hospital

• Kotani Jun-ichi

  Cardiovascular Division, Kansai Rosai Hospital

• Morita Hisaki

  Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine

• Horio Masaru

  Division Of Health Sciences Department Of Functional Diagnostic Science Osaka University Graduate Sc

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