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KMID : 0368120090390040171
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Korean Circulation Journal
2009 Volume.39 No. 4 p.171 ~ p.174
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Intravascular Ultrasound-Guided Troubleshooting in a Large Hematoma Treated With Fenestration Using a Cutting Balloon
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Noh Hye-Jin
Choi Jin-Ho
Song Young-Bin
Yang Ji-Hyun
Kim Sang-Min
Lee Hyun-Jong
Choi Joon-Hyuk
Choi Soo-Hee
Hahn Joo-Yong
Choi Seung-Hyuk
Gwon Hyeon-Cheol
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Abstract
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Intramural hematoma formation is not a well-studied complication of percutaneous coronary intervention. We describe a patient with stable angina who developed an intramural hematoma during elective percutaneous coronary intervention (PCI) in the right coronary artery (RCA). Total occlusion with dense dye staining developed a long way from the distal RCA, near the posterior descending artery bifurcation site. The true lumen was compressed by the enlarged, tense, false lumen. The patient was successfully treating with intravascular ultrasound-guided fenestration using a cutting balloon, and a stent was implanted in the distal RCA.
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KEYWORD
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Hematoma, Angioplasty, Intravascular ultrasonography
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Listed journal information
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