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Case Reports in Cardiology
Volume 2017, Article ID 8189530, 4 pages
https://doi.org/10.1155/2017/8189530
Case Report

Coronary Artery Hematoma Treated with Fenestration Using a Novel NSE Alpha® Scoring Balloon

Hokkaido Cardiovascular Hospital, Hokkaido, Japan

Correspondence should be addressed to Naohiro Funayama; moc.liamtoh@oan_anuf

Received 23 May 2017; Revised 4 August 2017; Accepted 27 August 2017; Published 2 October 2017

Academic Editor: Hajime Kataoka

Copyright © 2017 Naohiro Funayama et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The optimal management of coronary intramural hematoma has not been defined. We described a case in which coronary occlusion developed due to an intramural hematoma after percutaneous coronary intervention for mid left circumflex artery (LCX). Intravascular ultrasound (IVUS) demonstrated the progression of the intramural hematoma and a totally compressed true lumen. Our approach was based on fenestration with a scoring balloon (NSE Alpha, Goodman, Japan), which allowed the deployment of an additional stent to be avoided. In conclusion, this management can be effectively and safely performed.