Document Detail

Left main crumpling during left anterior descending angioplasty: hitherto unreported location for the "accordion effect".
MedLine Citation:
PMID:  11246254     Owner:  NLM     Status:  MEDLINE    
Vessel wall shortening and deformity due to "arterial telescoping" is a not infrequent reversible phenomenon that occurs during coronary angioplasty and is associated with the advancement of a stiff wire through elongated and tortuous segments, with straightening of the artery and deep guiding catheter introduction beyond the coronary ostium. We present the first described case of the accordion effect involving the left main coronary artery. On detecting arterial crumpling, it is essential to make a differential diagnosis between the accordion syndrome and PTCA potential complications (spasm, thrombosis and dissection), to avoid further therapeutic intervention.
J A Alvarez; G Leiva; B Manavella; J J Cosentino
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  52     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-03-14     Completed Date:  2001-06-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  363-7     Citation Subset:  IM    
Department of Cardiology, Buenos Aires British Hospital, Buenos Aires, Argentina.
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MeSH Terms
Angina Pectoris / radiography,  therapy*
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Coronary Angiography
Coronary Disease / radiography*,  therapy
Diagnosis, Differential
Myocardial Infarction / radiography,  therapy*

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