An accordion phenomenon with ST-segment elevation of electrocardiogram and anginal chest pain

Yasuoka, Yoshinori; Morisawa, Daisuke; Kitada, Hirokazu; Hattori, Satoshi; Noda, Yoshiki; Adachi, Hidenori; Abe, Haruhiko; Irino, Hiroaki; Sasaki, Tatsuya; Miyatake, Kunio

doi:10.1016/j.ijcard.2008.04.026

International Journal of Cardiology

2009

DOI: 10.1016/j.ijcard.2008.04.026

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An accordion phenomenon with ST-segment elevation of electrocardiogram and anginal chest pain

Yoshinori Yasuoka¹,

Daisuke Morisawa²,

Hirokazu Kitada³

et al.

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Cited by 3 publications

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“…Mechanical shortening and vessel wall invagination are the suspected mechanisms [2]. It may cause severe ischemia and even myocardial infarction [3, 4]. It is important to differentiate it from dissection and spasm.…”

mentioning

confidence: 99%

s Coronary accordion effect mimicking coronary dissection

Çağlıyan¹,

Ballı²,

Akıllı³

et al. 2013

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mentioning

confidence: 99%

s Coronary accordion effect mimicking coronary dissection

Çağlıyan¹,

Ballı²,

Akıllı³

et al. 2013

pwki

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Pseudo dislodgement of a stent due to crumpling of a coronary artery: A hitherto unreported complication of the “accordion effect”

Allin¹,

Álvarez²,

Leiva³

et al. 2013

Archivos de Cardiología de México

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The "accordion effect" is a mechanical remodeling of the arterial wall produced by endoluminal introduction of stiff guidewires, leading to vessel wall shortening and development of multiple eccentric constrictions. This phenomenon is unresponsive to vasodilators and may lead to unnecessary stenting of the pseudo-lesions. It must be suspected with the development of multiple lesions and when a tortuous artery assumes a linear shape after advancing distally a stiff wire. In the situation of a complete occlusion of the artery the diagnosis may be challenging. Stenting in this scenario can be demanding because of the difficulty to appropriately size the length of the stent to the true lesion. We present a case of an unrecognized accordion phenomenon in an occluded coronary artery with a long dissection treated with two stents that after retrieving the wire were insufficient to cover the whole dissection.

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The reverse accordion effect

Goldberg

Nordkin

Halabi

et al. 2015

International Journal of Cardiology

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An accordion phenomenon with ST-segment elevation of electrocardiogram and anginal chest pain

Cited by 3 publications

References 6 publications

s Coronary accordion effect mimicking coronary dissection

s Coronary accordion effect mimicking coronary dissection

Pseudo dislodgement of a stent due to crumpling of a coronary artery: A hitherto unreported complication of the “accordion effect”

The reverse accordion effect

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