A Case of Intra- and Extra-Mural Hematomas During Recanalization for Chronic Total Occlusion
- Affiliated Author(s)
- 허승호; 조윤경; 박형섭; 윤혁준; 김형섭; 남창욱; 김윤년; 김권배
- Alternative Author(s)
- Hur, Seung Ho; Cho, Yun Kyeong; Park, Hyoung Seob; Yoon, Hyuck Jun; Kim, Hyung Seop; Nam, Chang Wook; Kim, Yoon Nyun; Kim, Kwon Bae
- Journal Title
- Korean Circulation Journal
- ISSN
- 1738-5520
- Issued Date
- 2010
- Keyword
- Hematoma; Ultrasonography; interventional
- Abstract
- An intramural hematoma is an accumulation of blood between the internal and external elastic membranes within the medial space, whereas an extramural hematoma is a dilution and/or dissemination of blood throughout the adventitia. Intra- and extra-hematomas are observed by intravascular ultrasound during percutaneous coronary intervention (PCI). The patient described herein presented with angina pectoris. Her coronary angiogram showed diffuse narrowing of the mid-left anterior descending artery and total occlusion of the distal right coronary artery (RCA). Intra- and extra-mural hematomas developed during PCI of the RCA; however, the lesions were covered successfully using long drug-eluting stents.
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