Jag. Alvarez et al., Left main crumpling during left anterior descending angioplasty: Hitherto unreported location for the "accordion effect", CATHET C IN, 52(3), 2001, pp. 363-367
Vessel wall shortening and deformity due to "arterial telescoping" is a not
infrequent reversible phenomenon that occurs during coronary angioplasty a
nd is associated with the advancement of a stiff wire through elongated and
tortuous segments, with straightening of the artery and deep guiding cathe
ter introduction beyond the coronary ostium. We present the first described
case of the accordion effect involving the left main coronary artery. On d
etecting arterial crumpling, it is essential to make a differential diagnos
is between the accordion syndrome and PTCA potential complications (spasm,
thrombosis and dissection), to avoid further therapeutic intervention. (C)
2001 Wiley-Liss, Inc.