Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Interventions in Kawasaki disease.

T Akagi1

  • 1Cardiac Care Unit, Okayama University Hospital, 2-5-1, Shikata-cho, Okayama, Japan. t-akagi@cc.okayama-u.ac.jp

Pediatric Cardiology
|May 4, 2005
PubMed
Summary

Catheter interventions for Kawasaki disease show promise, with rotational ablation being most effective for calcified coronary artery stenosis. Long-term anticoagulation and antiplatelet therapy are crucial for managing restenosis and preventing new aneurysms.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Commissioning of high current H<sup>+</sup>/D<sup>+</sup> ion beams for the prototype accelerator of the International Fusion Materials Irradiation Facility.

The Review of scientific instruments·2020
Same author

High flux circularly polarized gamma beam factory: coupling a Fabry-Perot optical cavity with an electron storage ring.

Scientific reports·2016
Same author

Demonstration of the stabilization technique for nonplanar optical resonant cavities utilizing polarization.

The Review of scientific instruments·2015
Same author

Experimental validation of a novel compact focusing scheme for future energy-frontier linear lepton colliders.

Physical review letters·2014
Same author

The stem cell transcription factor ZFP57 induces IGF2 expression to promote anchorage-independent growth in cancer cells.

Oncogene·2014
Same author

Particle therapy for mucosal melanoma of the head and neck. A single-institution retrospective comparison of proton and carbon ion therapy.

Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]·2013

Area of Science:

  • Cardiovascular Medicine
  • Pediatric Cardiology
  • Interventional Cardiology

Background:

  • Kawasaki disease can lead to coronary artery stenosis, often with severe calcification.
  • Catheter interventional treatments have advanced over the last decade for managing these complications.

Purpose of the Study:

  • To review and compare catheter interventional treatments for coronary artery stenosis in Kawasaki disease.
  • To identify the most effective techniques and management strategies.

Main Methods:

  • Review of clinical experience with balloon angioplasty, stent implantation, rotational ablation, and transluminal coronary revascularization.
  • Analysis of treatment outcomes, focusing on success rates, restenosis, and complications like aneurysm formation.

Main Results:

  • Balloon angioplasty shows good acute results within 6 years of disease onset, but restenosis rates remain high.
  • Rotational ablation demonstrates a high success rate, particularly in cases with calcified coronary artery stenosis.
  • Stent implantation poses challenges due to arterial access limitations in younger children; high-pressure balloon angioplasty may increase aneurysm risk.

Conclusions:

  • Rotational ablation appears to be the most suitable catheter intervention for Kawasaki disease, especially with calcification.
  • Careful monitoring for new aneurysms and appropriate long-term anticoagulation/antiplatelet therapy are essential for optimal patient management.

Related Experiment Videos