Key result
A 48-hour inflation of a spiral coil balloon catheter with localized heparin infusion successfully repaired a threatened occlusive intimal dissection following coronary angioplasty.
Prolonged inflation of a spiral coil balloon catheter with local heparin delivery may serve as an alternative or bridge to emergency surgery or stenting for threatened occlusive dissection post-angioplasty.
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May offer a nonsurgical bridge for post-PTCA dissection; hypothesis-generating and requires prospective validation.
We report on an unusual patient with a threatened occlusive dissection, in whom prolonged (48-hr) inflation of a balloon catheter with localized heparin infusion proved successful. This intracoronary infusion catheter maintained distal coronary flow on a unique spiral coil design, and may provide an alternative or a bridge to emergency operation or stent implantation.
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Shimabukuro et al. (1996) studied this question. A 48-hour inflation of a spiral coil balloon catheter with localized heparin infusion successfully repaired a threatened occlusive intimal dissection following coronary angioplasty.
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