Successful Coronary Flow Restoration by Stent-Free Strategy Using the Pull-Back Method of Cutting Balloon in Spontaneous Coronary Artery Dissection.

Abstract

This report describes a 46-year-old woman with ST-elevation myocardial infarction due to spontaneous coronary artery dissection. Because continuous chest pain and ST-segment elevation in electrocardiography indicated ongoing cardiac ischemia, the urgent revascularization strategy was used using a novel method of cutting balloon angioplasty, "the pull-back of inflated cutting balloon," which led to the successful coronary flow restoration and complete healing of dissected coronary artery in 1 year. The pull-back of the inflated cutting balloon method is a useful therapeutic option in the treatment of patients with spontaneous coronary artery dissection with ongoing cardiac ischemia.

• Authors: Esra Kaya, Hiroshi Iwata, Sakiko Miyazaki, Peter C Mattson, Kazuhisa Takamura, Hiroki Nishiyama, Iwao Okai, Shinya Okazaki, Hiroyuki Daida
• Journal: CJC open (CJC Open) Vol. 1 Issue 4 Pg. 213-215 (Jul 2019) ISSN: 2589-790X [Electronic] United States
• PMID: 32159110 (Publication Type: Case Reports)
• Copyright: © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc.