The accordion phenomenon of the left anterior descending (LAD) artery
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Date
2013
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Abstract
Akordiyon fenomeni rutin anjioplasti sırasında sert klavuz telin kıvrımlı damarlara yaptığı mekanik etki sonrasında şekil ve geometrisinin değişimiyle damar duvarının kısalması ve iç içe geçmesiyle oluşur. Bütün koroner arterler ve sol internal mammarial arter greftinde görülebilmesine rağmen left sol ön inen arterde oldukça nadirdir. Trombüs, spasm, diseksiyon gibi olası ciddi alternatif teşhislerin yanında akordiyon fenomeninin de düşünülmesi hastaya yapılabilecek gereksiz müdahaleleri önleyebilir.
Accordion phenomenon, during routine angioplasty procedure, is produced by mechanical alteration of the geometry and curvature of a tortuous vessel by a stiff PCI wire, resulting in invagination and shortening of the vessel wall. It has been described in all coronary arteries and left internal mammary artery graft but left anterior descending is very rare. Given there are possible serious alternative diagnosis, the diagnoses of accordion effect is important and may prevent unnecessary interventions.
Accordion phenomenon, during routine angioplasty procedure, is produced by mechanical alteration of the geometry and curvature of a tortuous vessel by a stiff PCI wire, resulting in invagination and shortening of the vessel wall. It has been described in all coronary arteries and left internal mammary artery graft but left anterior descending is very rare. Given there are possible serious alternative diagnosis, the diagnoses of accordion effect is important and may prevent unnecessary interventions.
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Çukurova Üniversitesi Tıp Fakültesi Dergisi
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Volume
38
Issue
2
