Severe accordion effect: Myocardial ischemia due to wire complication during percutaneous coronary intervention: A case report.
CASES JOURNAL 2008;
1:138. [PMID:
18764947 PMCID:
PMC2553053 DOI:
10.1186/1757-1626-1-138]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2008] [Accepted: 09/02/2008] [Indexed: 11/30/2022]
Abstract
A mechanical alteration during manoeuvring of stiff guidewires in tortuous coronary arteries frequently induces vessel wall shortening and coronary psedostenosis, referred as accordion phenomenon. Subtraction of the guidewires normally leads to the entire resolution of the lesions. A case of this transient angiographic finding, during percutaneous coronary intervention in a tortuous right coronary artery, which resulted in a flow limiting effect and myocardial ischemia, is described in the present report. Differential diagnosis from potential procedure complications and interventional methodology issues are discussed, while similar reports are reviewed.
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