Aspiration After Sealing the Entrance by Stenting Is a Promising Method to Treat Subintimal Hematoma

Akinori Sumiyoshi; Astunori Okamura; Mutsumi Iwamoto; Hiroyuki Nagai; Tomohiro Yamasaki; Takamasa Tanaka; Kohta Tanaka; Katusomi Iwakura; Kenshi Fujii

doi:10.1016/j.jaccas.2021.01.004

Aspiration After Sealing the Entrance by Stenting Is a Promising Method to Treat Subintimal Hematoma

JACC Case Rep. 2021 Mar 17;3(3):380-384. doi: 10.1016/j.jaccas.2021.01.004. eCollection 2021 Mar.

Authors

Akinori Sumiyoshi¹, Astunori Okamura¹, Mutsumi Iwamoto¹, Hiroyuki Nagai¹, Tomohiro Yamasaki¹, Takamasa Tanaka¹, Kohta Tanaka¹, Katusomi Iwakura¹, Kenshi Fujii¹

Affiliation

¹ Cardiovascular Vascular Center, Sakurabashi Watanabe Hospital, Osaka, Japan.

Abstract

Creation of a distal re-entry site is widely performed to treat subintimal hematoma. However, this method has a risk of further vessel damage. The present aspiration technique after sealing the entry site by stenting is more promising because the hematoma can be reduced without additional vessel damage. (Level of Difficulty: Advanced.).

Keywords: CAG, coronary angiography; IVUS, intravascular ultrasound; PCI, percutaneous coronary intervention; RCA, right coronary artery; STRAW, subintimal transcatheter withdrawa; TIMI, Thrombolysis In Myocardial Infarction; acute coronary syndrome; complication; dissection.

Publication types

Case Reports