Peeled Guidewire Coating with Debulked Plaque Obtained by Directional Coronary Atherectomy
Joint Authors
Araki, Makoto
Murai, Tadashi
Kanaji, Yoshihisa
Matsuda, Junji
Usui, Eisuke
Niida, Takayuki
Ichijo, Sadamitsu
Hamaya, Rikuta
Kakuta, Tsunekazu
Yonetsu, Taishi
Hoshino, Masahiro
Hada, Masahiro
Kanno, Yoshinori
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Percutaneous directional coronary atherectomy (DCA) is a plaque debulking method performed in Japan, and recently a renewed DCA device has been launched.
We present a case with a tight left anterior descending lesion undergoing percutaneous coronary intervention with application of DCA.
After several sessions of DCA, white plaques accompanied by green, stringed materials were obtained from the device; some materials were considerably long (approximately 15 mm in length).
A drug-eluting stent was subsequently implanted, and the procedure was completed successfully without any complications.
The extracted plaques and artificial materials were pathologically examined, and no inflammatory changes were detected on plaques adjacent to the material.
Assessing pathological findings and structure of the DCA catheter, the obtained artificial materials were considered as peeled guidewire, possibly resulting from the friction between the guidewire and metallic bearing in the housing of DCA catheter.
Of note, this phenomenon has been recognized even in other DCA cases in which guidewires of the other kind are used.
We report this phenomenon for the first time, warning of theoretically possible distal embolization of artificial materials caused by any debulking devices.
American Psychological Association (APA)
Hamaya, Rikuta& Yonetsu, Taishi& Ichijo, Sadamitsu& Araki, Makoto& Murai, Tadashi& Kanaji, Yoshihisa…[et al.]. 2017. Peeled Guidewire Coating with Debulked Plaque Obtained by Directional Coronary Atherectomy. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1143957
Modern Language Association (MLA)
Hamaya, Rikuta…[et al.]. Peeled Guidewire Coating with Debulked Plaque Obtained by Directional Coronary Atherectomy. Case Reports in Cardiology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1143957
American Medical Association (AMA)
Hamaya, Rikuta& Yonetsu, Taishi& Ichijo, Sadamitsu& Araki, Makoto& Murai, Tadashi& Kanaji, Yoshihisa…[et al.]. Peeled Guidewire Coating with Debulked Plaque Obtained by Directional Coronary Atherectomy. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1143957
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143957