Novel Percutaneous Coronary Intervention Techniques for Revascularizing Chronically Occluded Giant Coronary Aneurysms in a Patient with Kawasaki Disease

Steinberg, Zachary L.; Jones, Thomas K.; Lombardi, William

doi:10.1007/s00246-016-1446-z

Cited by 4 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The longest follow-up period was 6 months. The short-term clinical effects were promising, but the long-term results still need follow-up (5)(6)(7)(8). Our patient underwent paclitaxel-coated balloon angioplasty after recanalizing the LCX using the antegrade crossing technique.…”

Section: Discussionmentioning

confidence: 86%

Case Report: Interventional therapy for coronary artery occlusion in a 6-year-old child with Kawasaki disease

Zhao

Xie

et al. 2022

Front. Pediatr.

View full text Add to dashboard Cite

A 6-year-old girl was diagnosed with Kawasaki disease and bilateral giant coronary artery aneurysms at four months old and was subsequently referred to our hospital due to chest pain and T wave changes on electrocardiography. After admission, stress myocardial perfusion imaging showed reversible ischemia in multiple areas of the left ventricle. Coronary angiography revealed complete proximal segment occlusion of the left circumflex artery (LCX). The occluded LCX was recanalized by a Gaia 3rd micro-wire successfully passing through the occluded section to the distal end of the LCX, followed by sequential balloon dilation and drug-coated balloon angioplasty. Coronary angiography immediately after post-dilation and one-year follow-up angiography showed that the structure and blood flow of LCX was good. Although percutaneous coronary intervention (PCI) in pediatric patients with Kawasaki disease is limited in practice, PCI remains one of the treatment options for selected patients.

show abstract

Section: Discussionmentioning

confidence: 86%

Case Report: Interventional therapy for coronary artery occlusion in a 6-year-old child with Kawasaki disease

Zhao

Xie

et al. 2022

Front. Pediatr.

View full text Add to dashboard Cite

show abstract

“…Nine branches with stent implantations for chronic total occlusions or segmental stesosis were reported between 1999 and 2017 (Table 3). 18,[21][22][23][24][25][26] There were five males and three females. The age at the time of procedure ranged from 9 to 42 years, with a median of 18 years.…”

Section: Stent Implantation For Chronic Total Occlusionmentioning

confidence: 99%

“…A follow-up coronary angiogram revealed a complete occlusion with new anerysms in the right coronary artery and a widely patent left circumflex, although he was asymptomatic. 25…”

Section: Stent Implantation For Chronic Total Occlusionmentioning

confidence: 99%

Insights into stent implantation for coronary artery lesions caused by Kawasaki disease

Tsuda

2020

Cardiol Young

View full text Add to dashboard Cite

AbstractFifty years have passed since the first report of Kawasaki disease in 1967, and the prevalence of acute coronary syndrome in Kawasaki disease patients with coronary artery lesions exceeding 40 years old has increased. Primary coronary stent implantation is currently an acceptable method in ischaemic coronary heart disease in adults. However, it is unknown whether the stent implantation is effective or not in this population. As the clue to answer this question, I reviewed the references on Kawasaki disease patients who underwent the stent implantations between 1997 and 2019. Thirty-three patients underwent stent implantations for 34 coronary arteries. Adverse effects in the late period were found in 19 (68%) of 28 vessels with follow-up angiograms. There were complete occlusion 9, restenosis 8, and migration 2. A new aneurysm formation was found in 7 (37%) among the 19 vessels, and 6 (86%) of the 7 vessels were drug-eluting stent and 5 were found after the procedure for chronic total occlusion. The adverse effects free-rate at 1 year and 3 years were 57 and 25%, respectively. At present, the usefulness of stent implantation in the long-term results was scarce. Even if primary percutaneous coronary intervention without a stent implantation is performed for acute coronary syndrome, it can be expected to maintain the patency of the culprit lesion for several years. It is better to avoid a stent implantation as long as possible in this population. Knowing the long-term efficacy and complications of stent implantations is important for deciding the procedure.

show abstract

Characteristics and outcomes of patients with stent implantation for coronary artery lesions caused by Kawasaki disease – insights from second-generation stent implantation

Ishi,

Tsuda

2024

Cardiol Young

View full text Add to dashboard Cite

Background: Adult Kawasaki patients may require intervention for occlusive coronary artery disease. Some adverse effects of first-generation drug-eluting stent implantation with sirolimus have been reported in this population. Methods: A total of nine lesions in eight (seven males, one female) patients who underwent stent implantations in this population between 2000 and 2021 were reviewed. Results: The age at stent implantation ranged from 31 to 47 years, with a median of 37 years. There were six lesions treated by primary percutaneous transluminal coronary interventions, and three by elective procedures. A coronary aneurysm was found in two lesions, and coronary artery calcification was found in all culprit lesions. The numbers of everolimus-eluting stents, sirolimus-eluting stents and bare metal stents were six, two, and one, respectively. As anti- thrombotic therapy, aspirin, clopidogrel, and prasugrel were given to four, three, and one, respectively. Warfarin was given to five patients. The follow-up ranged from 2 to 12 years, with a median of 4 years. Follow-up angiograms were performed for eight lesions, at 2 to 38 months, with a median of 11 months. The patency of the target vessel was confirmed in all eight vessels. Slight malapposition, and peri-stent contrast staining were found in two lesions each. Conclusion: Acute coronary syndrome due to coronary artery lesions caused by Kawasaki disease occurred, even in lesions without any apparent coronary artery aneurysms. In our study, we show safe and efficacious placement of second-generation stent without adverse effects during the short-term follow-up, but long-term follow-up is needed to determine the efficacy and complication.

show abstract

Novel Percutaneous Coronary Intervention Techniques for Revascularizing Chronically Occluded Giant Coronary Aneurysms in a Patient with Kawasaki Disease

Cited by 4 publications

References 8 publications

Case Report: Interventional therapy for coronary artery occlusion in a 6-year-old child with Kawasaki disease

Case Report: Interventional therapy for coronary artery occlusion in a 6-year-old child with Kawasaki disease

Insights into stent implantation for coronary artery lesions caused by Kawasaki disease

Characteristics and outcomes of patients with stent implantation for coronary artery lesions caused by Kawasaki disease – insights from second-generation stent implantation

Contact Info

Product

Resources

About