Korean Circ J.  2021 Apr;51(4):376-378. 10.4070/kcj.2020.0516.

A Case of Aneurysm Occurring at the Dissection Site after Intervention with Drug-Coated Balloon

• Yuan SL
• Jun EJ
• Kim MH
• Garg S
• Shin ES

• KMID: 2514643
• DOI: http://doi.org/10.4070/kcj.2020.0516

Figure

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  Figure 1 (A) Pre-procedure; (B) Post-DCB treatment; (C) Follow-up angiographic images. In the IVUS image immediately after DCB treatment, plaque can be seen separated from the subintimal space by dissection (arrows). In the follow-up IVUS and OCT, the aneurysm is shown (asterisks) at the site of a plaque dissection (arrows) and cavities with dissection flaps in the plaque that were not observed immediately after DCB is observed (arrowheads). Longitudinal OCT views (S and T) demonstrate the extent and direction of the aneurysm and ruptured plaque.DCB = drug-coated balloon; IVUS = intravascular ultrasound; OCT = optical coherence tomography.

Reference

1. Bal ET, Thijs Plokker HW, van den Berg EM, et al. Predictability and prognosis of PTCA-induced coronary artery aneurysms. Cathet Cardiovasc Diagn. 1991; 22:85–88. PMID: 2009568.

2. Vassanelli C, Turri M, Morando G, Menegatti G, Zardini P. Coronary arterial aneurysms after percutaneous transluminal coronary angioplasty--a not uncommon finding at elective follow-up angiography. Int J Cardiol. 1989; 22:151–156. PMID: 2521614.