| Rolling filling defect? | |
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MedLine Citation:
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PMID: 20107906 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 68-year-old man was admitted with intermittent chest tightness. Coronary angiography revealed subtotal occlusion of right coronary artery (RCA). After successful stenting from middle to proximal RCA with two Cypher stents, angiography showed a "Rolling filling defect" at distal aneurysmal dilatation of RCA. Intravascular ultrasound (IVUS) confirmed the "Rolling filling defect" as a trapped air bubble just in RCA distal aneurysm. By using a 2.5 x 20 mm balloon anchoring at distal RCA, a 5Fr. ST01 catheter was advanced into distal RCA and aspirated the "Rolling filling defect" successfully. The case highlights the importance of preventing iatrogenic trapped air bubble in usual daily practice. Once it happens, several devices may utilize for aspiration including "5 in 6" aspiration technique or thrombo-suction catheters. Furthermore, IVUS can help for differential diagnosis in such scenario. |
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Authors:
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Hsiu-Yu Fang; Chiung-Jen Wu |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-01-28 |
Journal Detail:
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Title: The international journal of cardiovascular imaging Volume: 26 ISSN: 1875-8312 ISO Abbreviation: Int J Cardiovasc Imaging Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-12 Completed Date: 2010-08-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100969716 Medline TA: Int J Cardiovasc Imaging Country: United States |
Other Details:
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Languages: eng Pagination: 485-6 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, 83301, Taiwan, Republic of China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Coronary Aneurysm / diagnosis*, therapy Coronary Angiography Coronary Stenosis / radiography, therapy Diagnosis, Differential Heart Catheterization / methods* Humans Iatrogenic Disease Male Stents Ultrasonography, Interventional |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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