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Insights into stent implantation for coronary artery lesions caused by Kawasaki disease

Published online by Cambridge University Press:  09 June 2020

Etsuko Tsuda Open the ORCID record for Etsuko Tsuda [Opens in a new window]
Etsuko Tsuda*
Affiliation:
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan
*
Author for correspondence: Etsuko Tsuda, MD, National Cerebral and Cardiovascular Center, 6-1 Kishibe-shinmachi, Suita-shi, Osaka564-8565, Japan. Tel: +81 6 6170 1070; Fax: +81-6-6170-1782. E-mail: [email protected]
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Abstract

Fifty years have passed since the first report of Kawasaki disease in 1967, and the prevalence of acute coronary syndrome in Kawasaki disease patients with coronary artery lesions exceeding 40 years old has increased. Primary coronary stent implantation is currently an acceptable method in ischaemic coronary heart disease in adults. However, it is unknown whether the stent implantation is effective or not in this population. As the clue to answer this question, I reviewed the references on Kawasaki disease patients who underwent the stent implantations between 1997 and 2019. Thirty-three patients underwent stent implantations for 34 coronary arteries. Adverse effects in the late period were found in 19 (68%) of 28 vessels with follow-up angiograms. There were complete occlusion 9, restenosis 8, and migration 2. A new aneurysm formation was found in 7 (37%) among the 19 vessels, and 6 (86%) of the 7 vessels were drug-eluting stent and 5 were found after the procedure for chronic total occlusion. The adverse effects free-rate at 1 year and 3 years were 57 and 25%, respectively. At present, the usefulness of stent implantation in the long-term results was scarce. Even if primary percutaneous coronary intervention without a stent implantation is performed for acute coronary syndrome, it can be expected to maintain the patency of the culprit lesion for several years. It is better to avoid a stent implantation as long as possible in this population. Knowing the long-term efficacy and complications of stent implantations is important for deciding the procedure.

Keywords

Kawasaki diseasepercutaneous coronary interventionpercutaneous transluminal coronary rotational atherectomydrug-eluting stentacute coronary syndrome
Type
Review Article
Information
Cardiology in the Young , Volume 30 , Issue 7 , July 2020 , pp. 911 - 918
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Daniels, LB, Tjajadi, BS, Walford, HH, et al.Prevalence of Kawasaki disease in young adults with suspected myocardial ischemia. Circulation 2012; 125: 2447–2453.CrossRefGoogle ScholarPubMed
Tsuda, E, Abe, T, Tamaki, W.Acute coronary syndrome in adult patients with coronary artery lesions caused by Kawasaki disease: review of case reports. Cardiol Young 2011; 21: 74–82.CrossRefGoogle ScholarPubMed
Gordon, JB, Daniels, LB, Kahn, AM, et al.The spectrum of cardiovascular lesions requiring intervenetion in adults after Kawasaki disease. JACC Cardiovasc Interv 2016; 9: 687–696.CrossRefGoogle Scholar
Barca, LV, Menendes, JL, Palacios, AR, et al.Ligature of the left main coronary artery after surgery in Kawasaki disease: case report. Braz J Cardiovasc Surg 2019; 34: 111–113.CrossRefGoogle ScholarPubMed
Kaneko, U, Kashima, Y, Hashimoto, M, et al.Very late stent migration within a giant coronary aneurysm in a patient with Kawasaki disease. JACC Cardiovasc Interv 2017; 10: 1799–1800.CrossRefGoogle Scholar
Kawamura, I, Komiyama, K, Fukamizu, S, et al.Combination of drug-coated balloon angioplasty and exicimer laser coronary angioplasty ablation for coronary restenosis of Kawasaki disease: a case report. J Cardio Cases 2017; 15: 18–21.CrossRefGoogle ScholarPubMed
Oda, H, Miida, T, Ochiai, Y, et al.Successful stent implantation in acute myocardial infarction and successful directional coronary atherectomy of a stenotic lesion involving an aneurysm in a woman with Kawasaki Disease of adult onset. J Int Cardiol 1997; 10: 375–380.CrossRefGoogle Scholar
Ueno, T, Kai, H, Ikedaa, H, et al.Coronary stent deployment in a young adult with Kawasaki disease and recurrent myocardial infarxtion. Clin Cardiol 1999; 22: 147–149.CrossRefGoogle Scholar
Madhok, AB, Boxer, R, Green, S.An adolescent with chest pain – sequela of Kawasaki disease. Pediatr Emerg Care 2004; 20: 765–768.CrossRefGoogle ScholarPubMed
Kawai, H, Takakuwa, Y, Naruse, H, et al.Two cases with past Kawasaki disease developing acute myocardial infarction in the thirties, despite being regarded as at low risk for coronary events. Heart Vessls 2015; 30: 549–553.CrossRefGoogle ScholarPubMed
Matsushita, K, Tamura, T, Nishiga, M, et al.Acute myocardial infarction and 30-year coronary aneurysm follow-up by serial angiography in a young adult with Kawasaki disease. Cardiovasc Interv Ther 2015; 30: 142–146.CrossRefGoogle Scholar
Li, SS, Cheng, BC, Lee, SH.Images in cardiovascular medicine: giant coronary aneurysm formation after sirolimus-eluting stent implantation in Kawasaki disease. Circulation 2005; 112: e105–e107.CrossRefGoogle ScholarPubMed
Yoon, MJ, Lee, JY, Kim, SJ, et al.Stent graft implantation for in-stent restenosis of coronary artery stenosis after Kawasaki disease. Int J Cardiol 2006; 113: 264–266.CrossRefGoogle ScholarPubMed
Ishi, M.Catheter-based therapy for sequelae caused by Kawasaki disease. Shinzo 2009; 41: 879–885 (in Japanese).Google Scholar
Hijazi, ZM, Smith, JJ, Fulton, DR.Stent implantation for coronary artery stenosis after Kawasaki disease. J Inv Cardiol 1997; 9: 534–536.Google ScholarPubMed
Peters, TF, Parikh, SR, Pinkerton, CA.Rotational ablation and stent placement for severe calcific coronary artery stenosis after Kawasaki disease. Cathet Cardiovasc Intervent 2002; 56: 549–552.CrossRefGoogle ScholarPubMed
Iliadis, EA, Duvernoy, CS.Stent placement for coronary stenosis in Kawasaki disease: case report and literature review. J Interven Cardiol 2002; 15: 29–32.CrossRefGoogle ScholarPubMed
Mueller, F, Knirsch, W, Kniirsh, W, et al.Long-term follow-up of acute changes in coronary artery diameter caused by Kawasaki disease: risk factors for development of stenotic lesions. Cin Res Cardiol 2009; 98: 501–507.CrossRefGoogle ScholarPubMed
Muto, M, Ishikawa, T.Percutaneous coronary intervention with retrograde approach for chronic total occlusion after Kawasaki disease. J Jpn Coron Assoc 2013; 19: 188–192.CrossRefGoogle Scholar
Wang, YC, Wang, CC, Chen, YS, et al.Rotational atherectomy and stent implantation in an 11-year-old boy with a history of Kawasaki disease. Pediatr Neonatol 2016; 57: 248–251.CrossRefGoogle Scholar
Hashimi, A, Lazzam, C, McCrindle, BW, et al.Stenting of coronary artery stenosis in Kawasaki disease: stenting of coronary artery stenosis in Kawasaki disease. Cathet Cardiovasc Intervent 1999; 46: 333–336.3.0.CO;2-4>CrossRefGoogle Scholar
Dahdah, N, Ibrahim, R, Cannon, L.First recanalization of a coronary artery chronic total obstruction in an 11-year-old child Kawasaki disease sequelae using the CROSSER Catheter. Pediatr Cardiol 2007; 28: 389–393.CrossRefGoogle Scholar
Kim, GB, Hyo-Soo, C, Yun, J.Chronic total occlusion by stent fracture in Kawasaki disease: is recanalization possible? Cardiol Young 2012; 22: 232–234.CrossRefGoogle Scholar
Sawai, T, Tanigawa, T, Masuda, J, et al.New coronary aneurysm formation malapposition after zotarolimus-eluting stent implantation in Kawasaki disease. J Cardiol Cases 2013; 8: 118–120.CrossRefGoogle ScholarPubMed
Steinberg, ZL, Jones, TK, Lombardi, WL.Novel percutaneous coronary intervention techniques for revascularizing chronically occluded giant coronary aneurysms in a patient with Kawasaki disease. Pediatr Cardiol 2016; 37: 1392–1395.CrossRefGoogle Scholar
Nakano, H, Kataoka, Y, Yasuda, S.In vivo visualization of braid-like appearance in Kawasaki disease: insights from multi-modality imaging. Int J Cardiovasc Imaging 2017; 33: 1891–1893.CrossRefGoogle ScholarPubMed
Mario, CD, Kilic, ID, Yeh, JS, et al.Exclusion of a giant aneurysm post-Kawasaki disease with novel polyurethane covered stents. Int J Cardio 2015; 184: 664–666.CrossRefGoogle ScholarPubMed
Kim, WJ, Song, JG, Yoo, BW, et al.Giant coronary aneurysm with stenosis and thrombus formation due to Kawasaki disease: treatment with graft stent. J Korean Pediatr Cardiol Soc 2005; 9: 394–399.Google Scholar
Waki, K, Arakaki, Y, Mitsudo, K.Long-tern outcome of transcatheter polytetrafluoroethylene-covered stent implantation in a giant coronary aneurysm of a child with Kawasaki disease. Cathet Cardiovasc Int 2013; 81: 713–716.CrossRefGoogle Scholar
Tsuda, E, Tsujii, N, Hayama, Y. Stenotic lesions and the maximum diameter of coronary artery aneurysms in Kawasaki Disease. J Pediatr 2018; 194: 165–170.CrossRefGoogle ScholarPubMed
Tsuda, E, Hamaoka, K, Suzuki, H, et al.A survey of the 3-decade outcome for patients with giant aneurysms caused by Kawasaki disease. Am Herat J 2014; 167: 249–258.CrossRefGoogle ScholarPubMed
Motozawa, Y, Uozumi, H, Maemura, S, et al.Acute myocardial infarction that resulted from poor adherence to medicaleatment for giant coronary aneurysm: the importance of patient education in the chronic phase of Kawasaki disease. Int Heart J 2005; 56: 551–554.CrossRefGoogle Scholar
Morita, H, Kinoshita, I, Fukita, H, et al.Acute myocardial infarction in a young adult as possible sequel of Kawasaki disease – a case report of successful intracoronary thrombolytic therapy and histological study of an aneurysm. Jpn Circ J 1992; 56: 681–686.CrossRefGoogle Scholar
Xing, L, Yamamto, E, Sugiyama, T, et al.EROSION study (Effective anti-thrombotic therapy without stenting: Intravascular optical coherence tomogramphy-based management in plaque erosion) a 1-year follow-up report. Circ Cardiovasc Interv 2017; 10: e005830.CrossRefGoogle ScholarPubMed
Akagi, T.Catheter interventions for Kawasaki disease: current concepts and future directions. Korean Circ J 2011; 41: 53–57.CrossRefGoogle ScholarPubMed
Tsuda, E, Miyazaki, S, Yamada, O, et al.Percutaneous transluminal coronary rotational atherectomy for localized stenosis caused by Kawasaki disease. Pediatr Cardiol 2006; 27: 447–453.CrossRefGoogle ScholarPubMed
Tsuda, E, Hanatani, A, Kurosaki, K, et al.Two young adults who had acute coronary syndrome after regression of coronary aneurysms caused by Kawasaki disease in infant. Pediatr Cardiol 2006; 27: 372–375.CrossRefGoogle Scholar
Tsuda, E, Matsuo, M, Naito, H, et al.Clinical features in adults with coronary arterial lesions caused by presumed Kawasaki disease. Cardiol Young 2007; 17: 84–89.CrossRefGoogle ScholarPubMed
Kuramitsu, S, Hiromasa, T, Jinnouchi, H, et al.Usefulness of rotational atherectomy with optical frequency domain imaging guidance for severe calcified coronary lesions after Kawasaki disease. Cardivasc Interv Ther 2017; 32: 154–156.CrossRefGoogle ScholarPubMed
Yokouchi, Y, Oharaseki, T, Ihara, F, et al.Repeated stent thrombosis after DES implantation and localized hypersensitivity to a stent implanted in the distal portion of a coronary aneurysm thought to be a sequel of Kawasaki disease: autopsy report. Pathol Inter 2009; 60: 112–118.CrossRefGoogle Scholar
Tsuda, E.Intervention in adults after Kawasaki disease. JACC Cardiovasc Interv 2016; 9: 697–699.CrossRefGoogle ScholarPubMed
Guidelines for Diagnosis and Management of Cardiovascular Sequelae in Kawasaki Disease (JCS 2020) (in press).Google Scholar