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Implementation of the kissing balloon technique using a perfusion balloon in acute myocardial infarction: a case report.

Marohito NakataTatsuya TabataChikashi NagoMasami AbeHiroki Uehara
Published in: European heart journal. Case reports (2024)
Regarding acute myocardial infarction, prolonged inflation with a perfusion balloon had higher frequency of non-stent-related interventions than that of semi-compliant or non-compliant balloons. In this case, the perfusion balloon resulted in chest pain and hypotension. Perfusion balloon-based kissing balloon technique was useful in this setting. Optical coherence tomography revealing the responsible lesions can help determine the cause of acute myocardial infarction in young patients; in our case, a layered plaque was observed. Layered plaques are associated with coronary spasm; therefore, initiating treatment of coronary spasm was considered herein.
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