Document Detail

Interventions in Kawasaki disease.
MedLine Citation:
PMID:  15868317     Owner:  NLM     Status:  MEDLINE    
During the past 10 years, the clinical experience of catheter interventional treatment in Kawasaki disease has gradually increased. These treatments include balloon angioplasty, stent implantation, rotational ablation, and transluminal coronary revascularization. Because coronary artery stenosis in Kawasaki disease commonly involves severe calcification, in contrast with adult atherosclerotic coronary artery lesions, the indication or technique of catheter intervention for adult patients cannot be directly determined. Satisfactory acute results for coronary balloon angioplasty were obtained in patients in a relatively short interval from the onset of disease, especially within 6 years. However, the incidence of restenosis after angioplasty was still high. Rotational ablation may be the most appropriate catheter intervention for Kawasaki disease. The advantage of rotational ablation is the high success rate, even in patients with calcified coronary artery stenosis. Stent implantation requires larger arterial access and is not possible in younger children. Care should be paid to the detection of new aneurysm formation because this was associated with the use of additional balloon angioplasty using high-pressure balloon inflation. Anticoagulation or antiplatelet regimens are essential for long-term management.
T Akagi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric cardiology     Volume:  26     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2005 Mar-Apr
Date Detail:
Created Date:  2005-09-13     Completed Date:  2005-12-08     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  206-12     Citation Subset:  IM    
Cardiac Care Unit, Okayama University Hospital, 2-5-1, Shikata-cho, Okayama, Japan.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Blood Vessel Prosthesis Implantation
Catheter Ablation
Coronary Angiography
Coronary Stenosis / physiopathology,  therapy*
Mucocutaneous Lymph Node Syndrome / physiopathology,  therapy*

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