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Application of Percutaneous Transluminal Coronary Angioplasty to Coronary Arterial Stenosis in Kawasaki Disease

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TLDR
When the previously reported cases of six similar patients were taken into consideration, the only predictor of successful PTCA seemed to be the time elapsed between the onset of Kawasaki disease and perfo...
Abstract
Background Percutaneous transluminal coronary angioplasty (PTCA) has rarely been performed on patients with coronary lesions that result from Kawasaki disease. In this study, we retrospectively evaluated the effectiveness of PTCA in five patients with coronary arterial stenosis that resulted from Kawasaki disease and reviewed previous reports for possible indicators of PTCA effectiveness. Methods and Results Five patients, ranging in age from 2 to 16 years (median, 8 years), underwent conventional PTCA for localized stenosis. The lesion targeted for PTCA was located in the middle right coronary artery of three patients and in the left anterior descending artery in two patients. In four of the five patients, PTCA was angiographically effective, with stenosis rates improving from 84±10% to 33±11% (P<.05). When the previously reported cases of six similar patients were taken into consideration, the only predictor of successful PTCA seemed to be the time elapsed between the onset of Kawasaki disease and perfo...

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Citations
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Journal ArticleDOI

Immunization of preterm and low birth weight infants

Thomas N. Saari
- 01 Jul 2003 - 
TL;DR: All PT and LBW infants benefit from receiving influenza vaccine beginning at 6 months of age before the beginning of and during the influenza season.
Journal ArticleDOI

Sequential Follow-Up Results of Catheter Intervention for Coronary Artery Lesions After Kawasaki Disease Quantitative Coronary Artery Angiography and Intravascular Ultrasound Imaging Study

TL;DR: Assessment of sequential follow-up results of catheter intervention in Kawasaki disease by use of quantitative coronary angiography (QCA) and intravascular ultrasound imaging found it can be accomplished and can be effective in the short term, but the long-term efficacy should be verified.
Journal ArticleDOI

Kawasaki disease: diagnosis, management, and long-term implications.

TL;DR: Kawasaki disease is an acute inflammatory vasculitis of childhood which was initially described more than 4 decades ago, yet the specific etiology remains unknown and has become the most common cause of acquired cardiovascular disease in children in the United States.
References
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Journal ArticleDOI

Immunization of preterm and low birth weight infants

Thomas N. Saari
- 01 Jul 2003 - 
TL;DR: All PT and LBW infants benefit from receiving influenza vaccine beginning at 6 months of age before the beginning of and during the influenza season.
Journal ArticleDOI

Long-Term Prognosis of Patients With Kawasaki Disease Complicated by Giant Coronary Aneurysms A Single-Institution Experience

TL;DR: In this article, the authors determined the long-term prognosis of Kawasaki disease patients with coronary aneurysms and coronary stenosis, leading to ischemic heart disease.
Journal ArticleDOI

Sequential Follow-Up Results of Catheter Intervention for Coronary Artery Lesions After Kawasaki Disease Quantitative Coronary Artery Angiography and Intravascular Ultrasound Imaging Study

TL;DR: Assessment of sequential follow-up results of catheter intervention in Kawasaki disease by use of quantitative coronary angiography (QCA) and intravascular ultrasound imaging found it can be accomplished and can be effective in the short term, but the long-term efficacy should be verified.