Limits...
Coronary accordion effect mimicking coronary dissection.

Cagliyan CE, Balli M, Akilli RE, Tekin K, Cayli M - Postepy Kardiol Interwencyjnej (2013)

Bottom Line: The coronary "accordion" effect is a rare pseudo-complication of percutaneous coronary intervention (PCI).It is usually observed due to straightening and shortening of tortuous vessels with stiff guidewires during PCI.In this case report, we present an interesting case of the coronary accordion effect observed in a 52-year-old woman undergoing PCI.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Department, Faculty of Medicine, Cukurova University, Adana, Turkey.

ABSTRACT
The coronary "accordion" effect is a rare pseudo-complication of percutaneous coronary intervention (PCI). It is usually observed due to straightening and shortening of tortuous vessels with stiff guidewires during PCI. In this case report, we present an interesting case of the coronary accordion effect observed in a 52-year-old woman undergoing PCI.

No MeSH data available.


Related in: MedlinePlus

Extreme kinking and wrinkles mimicking coronary dissection are observed (black arrows)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3927115&req=5

Figure 0004: Extreme kinking and wrinkles mimicking coronary dissection are observed (black arrows)

Mentions: A 52-year-old female patient underwent coronary angiography (CAG) due to unstable angina pectoris. Her left coronary system was normal and a critical lesion was observed in the mid portion of the highly tortuous right coronary artery (RCA) (Figure 1). After straightening the RCA with two floppy guidewires and a balloon catheter system (Figure 2), a 2.75 mm × 18 mm sirolimus-eluting stent was implanted in the mid RCA (Figure 3). After stent implantation, CAG revealed haziness, extreme coronary kinking and wrinkles in the proximal portion of the RCA (Figures 4A and B). After extraction of guidewires, all of the kinking, wrinkles and haziness disappeared (Figure 5). The procedure was terminated.


Coronary accordion effect mimicking coronary dissection.

Cagliyan CE, Balli M, Akilli RE, Tekin K, Cayli M - Postepy Kardiol Interwencyjnej (2013)

Extreme kinking and wrinkles mimicking coronary dissection are observed (black arrows)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927115&req=5

Figure 0004: Extreme kinking and wrinkles mimicking coronary dissection are observed (black arrows)
Mentions: A 52-year-old female patient underwent coronary angiography (CAG) due to unstable angina pectoris. Her left coronary system was normal and a critical lesion was observed in the mid portion of the highly tortuous right coronary artery (RCA) (Figure 1). After straightening the RCA with two floppy guidewires and a balloon catheter system (Figure 2), a 2.75 mm × 18 mm sirolimus-eluting stent was implanted in the mid RCA (Figure 3). After stent implantation, CAG revealed haziness, extreme coronary kinking and wrinkles in the proximal portion of the RCA (Figures 4A and B). After extraction of guidewires, all of the kinking, wrinkles and haziness disappeared (Figure 5). The procedure was terminated.

Bottom Line: The coronary "accordion" effect is a rare pseudo-complication of percutaneous coronary intervention (PCI).It is usually observed due to straightening and shortening of tortuous vessels with stiff guidewires during PCI.In this case report, we present an interesting case of the coronary accordion effect observed in a 52-year-old woman undergoing PCI.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Department, Faculty of Medicine, Cukurova University, Adana, Turkey.

ABSTRACT
The coronary "accordion" effect is a rare pseudo-complication of percutaneous coronary intervention (PCI). It is usually observed due to straightening and shortening of tortuous vessels with stiff guidewires during PCI. In this case report, we present an interesting case of the coronary accordion effect observed in a 52-year-old woman undergoing PCI.

No MeSH data available.


Related in: MedlinePlus