INTERVENTIONAL CATHETERIZATION IN KAWASAKI-DISEASE

The experiences of catheter interventional treatment in Kawasaki disea se are quite limited. In this article, we report our experiences of ca theter intervention. We performed the percutaneous transluminal corona ry revascularization (PTCR) in 18 cases, the percutaneous transluminal coronary angioplasty (PTCA) in 7, which resulted in success of 55.5, 75, 100, and 100, respectively. In this article, we discuss the indica tions and methods for coronary artery lesions of long-term Kawasaki di sease. PTCR is useful for treatment of acute myocardial infarction and for prevention of massive thrombus formation, particularly within 2 y ears from the onset of Kawasaki disease. PTCA is effective in many ins tances, particularly in patients without severe calcification of the c oronary artery. However, neoaneurysm has developed in a certain number of the patients. Stent implantation is more preferable than PTCA, bec ause it may potentially prevent neoaneurysmal formation and restenosis . Rotational ablation is effective for the stiff stenotic lesions with severe patients. The intravascular ultrasound is very useful in evalu ating the tissue characterization of the coronary artery and to select the treatment strategy, and to evaluate the catheter interventional t reatment.