EXTRAMURAL VESSEL WALL HEMATOMA CAUSING A REDUCED VESSEL DIAMETER AFTER CORONARY STENTING - DIAGNOSIS BY INTRAVASCULAR ULTRASOUND AND TREATMENT BY STENT IMPLANTATION

Citation
P. Mahr et al., EXTRAMURAL VESSEL WALL HEMATOMA CAUSING A REDUCED VESSEL DIAMETER AFTER CORONARY STENTING - DIAGNOSIS BY INTRAVASCULAR ULTRASOUND AND TREATMENT BY STENT IMPLANTATION, Catheterization and cardiovascular diagnosis, 43(4), 1998, pp. 438-443
Citations number
17
Categorie Soggetti
Cardiac & Cardiovascular System
ISSN journal
00986569
Volume
43
Issue
4
Year of publication
1998
Pages
438 - 443
Database
ISI
SICI code
0098-6569(1998)43:4<438:EVWHCA>2.0.ZU;2-J
Abstract
An extramural vessel wall hematoma occured immediately after implantin g a coronary stent in an in-stent-restenosis of the intermedius branch . Angiography showed a significant luminal reduction distal to the int ervention site, Intravascular ultrasound revealed an extramural echolu cent zone compressing the vessel lumen. Stent implantation compressed the hematoma and allowed adequate myocardial perfusion. This demonstra tes the value of intravascular ultrasound (IVUS) in cases of unusual a ngiographic results which can help to manage complications after coron ary intervention. (C) 1998 Wiley-Liss, Inc.