Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction

A 71-year-old woman was admitted to our institution for an ongoing inferior ST-elevation myocardial infarction (STEMI). TIMI 3 flow of a mid-right coronary artery (RCA) thrombotic occlusion was restituted with balloon angioplasty (Sapphire II NC 3 × 15 mm, OrbusNech) and stenting at 9 atm (Ultimaste...

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Autores principales:	Clément Servoz, Jacques Monségu, Mohamed Abdellaoui, Benjamin Faurie
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/51ceb89f2b1d4bffb4caec6bbb03c747
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spelling	oai:doaj.org-article:51ceb89f2b1d4bffb4caec6bbb03c7472021-12-02T17:46:06ZCutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction1734-93381897-429510.5114/aic.2021.104779https://doaj.org/article/51ceb89f2b1d4bffb4caec6bbb03c7472021-03-01T00:00:00Zhttps://www.termedia.pl/Cutting-balloon-to-treat-post-stenting-intramural-hematoma-during-ST-elevation-myocardial-infarction,35,43648,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295A 71-year-old woman was admitted to our institution for an ongoing inferior ST-elevation myocardial infarction (STEMI). TIMI 3 flow of a mid-right coronary artery (RCA) thrombotic occlusion was restituted with balloon angioplasty (Sapphire II NC 3 × 15 mm, OrbusNech) and stenting at 9 atm (Ultimaster Tansei 3.5 × 28 mm, TERUMO) (Figure 1 A). Post-stenting angiogram revealed a distal stent edge stenosis which was not restituted after intracoronary nitroglycerin excluding vasospasm (Figure 1 B). Moreover, this lesion was evolutive: the stenosis aspect and degree became worse. As the dissection mechanism was suspected, we treated this lesion with a second stent. While stenting, we observed a distal migration of the sub-intimal contrast dye that made us think about a probable iatrogenic hematoma extension. A tight distal RCA stenosis was revealed on angiogram with clear subintimal dye trapping and extraluminal compression while the patient had recurrence of chest pain and inferior ST-segment elevation (Figure 1 C).Clément ServozJacques MonséguMohamed AbdellaouiBenjamin FaurieTermedia Publishing HousearticleMedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 1, Pp 114-115 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Clément Servoz Jacques Monségu Mohamed Abdellaoui Benjamin Faurie Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction
description	A 71-year-old woman was admitted to our institution for an ongoing inferior ST-elevation myocardial infarction (STEMI). TIMI 3 flow of a mid-right coronary artery (RCA) thrombotic occlusion was restituted with balloon angioplasty (Sapphire II NC 3 × 15 mm, OrbusNech) and stenting at 9 atm (Ultimaster Tansei 3.5 × 28 mm, TERUMO) (Figure 1 A). Post-stenting angiogram revealed a distal stent edge stenosis which was not restituted after intracoronary nitroglycerin excluding vasospasm (Figure 1 B). Moreover, this lesion was evolutive: the stenosis aspect and degree became worse. As the dissection mechanism was suspected, we treated this lesion with a second stent. While stenting, we observed a distal migration of the sub-intimal contrast dye that made us think about a probable iatrogenic hematoma extension. A tight distal RCA stenosis was revealed on angiogram with clear subintimal dye trapping and extraluminal compression while the patient had recurrence of chest pain and inferior ST-segment elevation (Figure 1 C).
format	article
author	Clément Servoz Jacques Monségu Mohamed Abdellaoui Benjamin Faurie
author_facet	Clément Servoz Jacques Monségu Mohamed Abdellaoui Benjamin Faurie
author_sort	Clément Servoz
title	Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction
title_short	Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction
title_full	Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction
title_fullStr	Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction
title_full_unstemmed	Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction
title_sort	cutting balloon to treat post-stenting intramural hematoma during st elevation myocardial infarction
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/51ceb89f2b1d4bffb4caec6bbb03c747
work_keys_str_mv	AT clementservoz cuttingballoontotreatpoststentingintramuralhematomaduringstelevationmyocardialinfarction AT jacquesmonsegu cuttingballoontotreatpoststentingintramuralhematomaduringstelevationmyocardialinfarction AT mohamedabdellaoui cuttingballoontotreatpoststentingintramuralhematomaduringstelevationmyocardialinfarction AT benjaminfaurie cuttingballoontotreatpoststentingintramuralhematomaduringstelevationmyocardialinfarction
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Cutting balloon to treat post-stenting intramural hematoma during ST elevation myocardial infarction

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