Abstract
SUMMARY
Accordion or concertina effect is defined as a pseudolesion of tortuous arteries which confused with false dissection, spasm, thrombus and embolus appearence and that gives great concerns to the operator occurs due to straightening and shortening of the vessels with stiff guide wires during the intervention. We present a case of accordion effect in proximal segment of right coronary artery in 51-year-old patient with ST-segment elevation myocardial infarction. Coronary artery dissection during percutaneous transluminal coronary angioplasty is commonly seen in clinical practice. This case is a brief report on concertina effect. We must keep in mind concertina effect before proceeding with a coronary intervention as an interventional cardiologist.
Keywords: ST-segment elevation myocardial infarction, right coronary artery, accordion effect, pseudocomplication
ÖZET
Akordiyon veya konçertina etkisi tortiyoze arterlerin bir psödolezyonu olup, yalancı diseksiyon, spazm, trombüs ve emboli görünümü ile karışabilir ve girişim sırasında sert kılavuz tellerle damarların kısaltılıp doğrultulması nedeniyle işlemcide büyük bir endişe uyandırır. Bu makalede ST segment elevasyonlu myokard infarktüsü olup; sağ koroner arterin proximal segmentinde akordiyon etkisi bulunan 51 yaşında bir olgu sunulmuştur. Klinik uygulamada perkütan transluminal koroner anjioplasti esnasında koroner arter disseksiyonu görülmesi yaygındır.Bu vaka konçertina etkisi ile ilgili kısa bir bildiridir. Girişimsel kardiyologların koroner girişimler sırasında konçertina etkisini akıllarında bulundurmaları gerekmektedir.
Anahtar sözcükler: ST segment elevasyonlu myokard enfarktüsü, sağ koroner arter, akordiyon etkisi, psödokomplikasyon
Keywords
ST-segment elevation myocardial infarction right coronary artery accordion effect pseudocomplication
References
- Grewe K, Presti CF, Perez JA. Torsion of an internal mammary graft
- transluminal coronary angioplasty: a case report. Cathet Cardiovasc Diagn 1990; 19: 195-7.
- Deligonul U, Tatineni S, Johnson R, Kern MJ. Accordion right coronary
- complication of PTCA guidewire entrapment. Cathet Cardiovasc Diagn 1991; 23: 111-3.
- unusual 3. Rauh RA, Ninneman RW, Joseph D, Gupta VK, Senior DG, Miller WP. Accordion effect in tortuous right coronary arteries during percutaneous coronary
- Cardiovasc Diagn 1991; 23: 107- 10.
- transluminal angioplasty.
- Cathet 4. Doshi S, Shiu MF. Coronary Pseudolesions induced in the left anterior descending and right coronary artery by the angioplasty guidewire. Int J Cardiol 1999; 68: 337-42.
- Blankenship JC. Right coronary artery pseudotransection due to mechanical straightening during coronary
- Cardiovasc Diagn 1995; 36: 43-5.
- Cathet 6. Hays JT, Stein B, Raizner AE. The crumpled coronary: an enigma of arteriographic and misinterpretation.
- Cardiovasc Diagn 1994; 31: 293- 300.
- for Cathet 7. Alvarez JA, Leiva G, Manavella B, Cosentino JJ. Left main crumpling during left anterior descending angioplasty: Hitherto unreported location for the “accordion effect”. Catheter Cardiovasc Interv 2001; 52: 363-7. 8. Tsutsumi M, Kazekawa
- K, Onizuka M, Aikawa H, Iko M, Kodama T, Nii K, Matsubara S, Etou H, Tanaka A. Accordion effect
- stenting: report of two cases and review
- Neuroradiology 2007; 49: 567-70. literature. 9. Dawson DL, Hellinger
- JC, Terramani TT, Najibi S, Martin LG, Lumsden LB. Iliac Artery Kinking Therapies:
- Considerations. J Vasc Interv Radiol 2002; 13: 729-33.
- Chalet Y, Chevalier B, El Hadad S, Guyon P, Lancelin B. “Pseudo narrowing”during right coronary angioplasty: how to diagnose correctly without withdrawing the guidewire.
- Diagn 1994; 31: 37-40.
- Cardiovasc 11. Goel PK, Agarwal A, Kapoor A. Concertina”
- Angioplasty of Tortuous Right and Left
- Importance of Using Over-the- Wire System: A Case Report. Indian Heart J 2001; 53: 87-90.
Abstract
Akordiyon veya konçertina etkisi tortiyoze arterlerin bir psödolezyonu olup, yalancı diseksiyon, spazm, trombüs ve emboli görünümü ile karışabilir ve girişim sırasında sert kılavuz tellerle damarların kısaltılıp doğrultulması nedeniyle işlemcide büyük bir endişe uyandırır. Bu makalede ST segment elevasyonlu myokard infarktüsü olup; sağ koroner arterin proximal segmentinde akordiyon etkisi bulunan 51 yaşında bir olgu sunulmuştur. Klinik uygulamada perkütan transluminal koroner anjioplasti esnasında koroner arter disseksiyonu görülmesi yaygındır.Bu vaka konçertina etkisi ile ilgili kısa bir bildiridir. Girişimsel kardiyologların koroner girişimler sırasında konçertina etkisini akıllarında bulundurmaları gerekmektedir
Keywords
ST segment elevasyonlu myokard enfarktüsü sağ koroner arter akordiyon etkisi psödokomplikasyon
References
- Grewe K, Presti CF, Perez JA. Torsion of an internal mammary graft
- transluminal coronary angioplasty: a case report. Cathet Cardiovasc Diagn 1990; 19: 195-7.
- Deligonul U, Tatineni S, Johnson R, Kern MJ. Accordion right coronary
- complication of PTCA guidewire entrapment. Cathet Cardiovasc Diagn 1991; 23: 111-3.
- unusual 3. Rauh RA, Ninneman RW, Joseph D, Gupta VK, Senior DG, Miller WP. Accordion effect in tortuous right coronary arteries during percutaneous coronary
- Cardiovasc Diagn 1991; 23: 107- 10.
- transluminal angioplasty.
- Cathet 4. Doshi S, Shiu MF. Coronary Pseudolesions induced in the left anterior descending and right coronary artery by the angioplasty guidewire. Int J Cardiol 1999; 68: 337-42.
- Blankenship JC. Right coronary artery pseudotransection due to mechanical straightening during coronary
- Cardiovasc Diagn 1995; 36: 43-5.
- Cathet 6. Hays JT, Stein B, Raizner AE. The crumpled coronary: an enigma of arteriographic and misinterpretation.
- Cardiovasc Diagn 1994; 31: 293- 300.
- for Cathet 7. Alvarez JA, Leiva G, Manavella B, Cosentino JJ. Left main crumpling during left anterior descending angioplasty: Hitherto unreported location for the “accordion effect”. Catheter Cardiovasc Interv 2001; 52: 363-7. 8. Tsutsumi M, Kazekawa
- K, Onizuka M, Aikawa H, Iko M, Kodama T, Nii K, Matsubara S, Etou H, Tanaka A. Accordion effect
- stenting: report of two cases and review
- Neuroradiology 2007; 49: 567-70. literature. 9. Dawson DL, Hellinger
- JC, Terramani TT, Najibi S, Martin LG, Lumsden LB. Iliac Artery Kinking Therapies:
- Considerations. J Vasc Interv Radiol 2002; 13: 729-33.
- Chalet Y, Chevalier B, El Hadad S, Guyon P, Lancelin B. “Pseudo narrowing”during right coronary angioplasty: how to diagnose correctly without withdrawing the guidewire.
- Diagn 1994; 31: 37-40.
- Cardiovasc 11. Goel PK, Agarwal A, Kapoor A. Concertina”
- Angioplasty of Tortuous Right and Left
- Importance of Using Over-the- Wire System: A Case Report. Indian Heart J 2001; 53: 87-90.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | July 1, 2015 |
| Published in Issue | Year 2015Volume: 37 Issue: 2 |