Original ArticlesCatheter interventional treatment in Kawasaki disease: A report from the Japanese Pediatric Interventional Cardiology Investigation Group☆
Section snippets
Questionnaires
The first questionnaire, which addressed whether catheter interventions were performed to treat coronary artery lesions in patients with Kawasaki disease before December 1997, was sent to 55 institutions with faculty who were members of the Japanese Pediatric Interventional Cardiology Investigation group. A total of 58 procedures in 57 patients were reported by 10 institutions. For these patients a second questionnaire, which addressed the type of procedure, the age at the time of intervention,
Results
There were 46 male and 11 female patients in the study. The age at the onset of disease ranged from 3 months to 10.1 years (median 1.6 years). The age at the time of catheter intervention ranged from 11 months to 24 years (median 12.1 years). The interval from the onset of disease to catheter intervention ranged from 2 months to 22.6 years (median 9.8 years).
Discussion
Several types of catheter intervention for the treatment of patients with Kawasaki disease have been reported.4, 5, 6, 7, 8, 9, 10, 11 Although these preliminary reports demonstrated the efficacy of each procedure, the studies were limited.
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2016, Pediatrics and NeonatologyCitation Excerpt :A pathological study4 has shown that coronary arterial stenosis after KD is caused by marked intimal thickening and multiple calcifications at the site of aneurysms and stenosis. Such thickening and calcification reduces the compliance of the arterial wall and compromises the success of PTCA in patients with KD.5 In this patient, we failed to advance the follow-up intravascular ultrasound catheter to the distal lumen of the LCX stenosis before PTCRA and used a 2.5 mm noncompliant Sprinter balloon (Medtronic) to conduct PTCA with a maximal balloon pressure of 16 atm.
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Reprint requests: Teiji Akagi, MD, Department of Pediatrics, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Japan 830-0011.