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논문번호 237
논문제목(영문) Successful percutaneous coronary intervention in patients with recanalized thrombus: Saving a radial artery by snuffbox approach
국내외구분 국외 SCI여부 SCI
연구책임자역할 교신저자
주저자명 Yongcheol Kim
교신저자명 Myung Ho Jeong
공동저자명 Min Chul Kim, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn
게제년월일 2019-01-22
ISSN 1897–5593
Impact Factor 2.246
학술지명 Cardiology Journal
서지사항 0집 / 26권 / 3호,   페이지(292 - 293)
요약초록문
(Abstract) 입력		 A 76-year-old man with chronic kidney disease
was referred to the documented clinic suffering
from aggravating effort angina. Thus, after treatment
with acetylsalicylic acid (300 mg loading
dose) and clopidogrel (300 mg loading dose),
coronary angiography was tried via left distal radial
artery as a preservation of radial artery for arteriovenous
fistula creation. This was successfully
cannulated by a 5 French sheath (Fig. 1). However,
brachial artery anomaly led to a change in the
access site using the right snuffbox approach
(Fig. 2A). Coronary angiography demonstrated diffuse
stenosis with multiple linear filling defects and
haziness in the proximal right coronary artery (Fig.
2B). Optical coherence tomography (OCT) showed
a honeycomb-like structure with multiple cavities
and it was concluded that this represented recanalized
thrombus (Fig. 2C, D, Suppl. Video 1).
OCT assessment led to implantation of a 2.75 ×
× 38 mm Xience Sierra stent (Abbott Vascular, Santa
Clara, CA, USA) and postdilation was achieved with
a 3.25 × 12 mm noncompliant at up to 21 atm in the
proximal portion of the implanted stent. Repeated
OCT assessment demonstrated good stent expansion
and strut apposition without edge dissection.
Final coronary angiography showed good distal flow
without residual stenosis (Fig. 2E).
This case highlights that OCT enables confirmation
of a rare case of recanalized thrombus and
the snuffbox approach can be an alternative access
site in patients with renal impairment where the
radial artery needs protection for anteriovenous
fistula.
파일  C237. Successful percutaneous coronary intervention in patients with recana~.pdf (404.3K) DATE : 2021-06-07 23:20:06