Document Detail

Percutaneous transluminal coronary rotational atherectomy for localized stenosis caused by Kawasaki disease.
MedLine Citation:
PMID:  16830078     Owner:  NLM     Status:  MEDLINE    
We report the results of percutaneous transluminal coronary rotational atherectomy (PTCRA) for localized stenosis caused by Kawasaki disease (KD) in children. Five males and a females, aged 5-15 years old (median, 9), underwent PTCRA. The interval from the onset of KD to PTCRA ranged from 5 to 12 years (median, 9). The target vessels were the left anterior descending artery (three patients), the left circumflex (two patients), and the right coronary artery (one patient). The immediate results of PTCRA were successful in all patients, and the mean stenosis degree improved from 89 +/- 10% to 27 +/- 12%. In follow-up coronary angiograms within 1 year, four vessels were restenosed, including two with complete occlusion. A 15-year-old male has had good patency for 4 years after undergoing re-PTCRA for restenosis using a larger burr size. PTCRA is feasible for severe localized stenosis with calcification caused by KD in children and the immediate results are good. However, restenosis often occurred within 1 year after PTCRA in small children and PTCRA is not always appropriate for them. When the use of a larger burr is possible, good patency can be expected and can be maintained by close follow-up and re-PTCRA.
Etsuko Tsuda; Syunichi Miyazaki; Osamu Yamada; Motoki Takamuro; Tsuyoshi Takekawa; Shigeyuki Echigo
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Publication Detail:
Type:  Journal Article     Date:  2006-07-06
Journal Detail:
Title:  Pediatric cardiology     Volume:  27     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-08-11     Completed Date:  2007-02-13     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  447-53     Citation Subset:  IM    
Department of Pediatrics, National Cardiovascular Center, Suita-shi, Osaka, Japan.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Atherectomy, Coronary* / adverse effects,  methods
Child, Preschool
Coronary Angiography
Coronary Restenosis / diagnosis,  etiology,  physiopathology,  therapy
Coronary Stenosis / etiology*,  physiopathology,  surgery*
Follow-Up Studies
Mucocutaneous Lymph Node Syndrome / complications*,  physiopathology,  surgery*
Severity of Illness Index
Treatment Outcome
Ultrasonography, Interventional
Vascular Patency

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