Effectiveness of Bare Metal Stent Implantation for the Treatment of Coronary Artery Aneurysm: A Multimodality Imaging Evaluation
| Autor: | Noriyoshi Yamawake, Yasuaki Hada, Hiroyuki Fujii, Mitsuhiro Nishizaki, Masato Shimizu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Coronary angiography Bare-metal stent medicine.medical_specialty medicine.medical_treatment Thin layer Case Report 030204 cardiovascular system & hematology Coronary Angiography intravascular ultrasound Coronary Restenosis 03 medical and health sciences 0302 clinical medicine mental disorders Intravascular ultrasound peri-stent contrast staining Internal Medicine medicine Humans cardiovascular diseases 030212 general & internal medicine Coronary artery aneurysm Natural course optical coherence tomography medicine.diagnostic_test business.industry Coronary Aneurysm nutritional and metabolic diseases Stent General Medicine Middle Aged non-obstructive coronary angioscopy medicine.disease coronary artery aneurysm Treatment Outcome medicine.anatomical_structure sirolimus-eluting stent Stents Radiology business Tomography Optical Coherence Artery |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.8532-16 |
| Popis: | Coronary artery aneurysm (CAA) after sirolimus-eluting stent (SES) implantation is one of the most troublesome problems associated with first-generation drug-eluting stents. However, the natural course and standard therapy of CAA has been unknown. A 49-year-old man underwent SES implantation for the left anterior descending artery. Follow-up coronary angiography (CAG) revealed CAA in the SES. We performed bare metal stent (BMS) implantation for treatment of CAA. Ten months after the BMS implantation, the size of the CAA had diminished, and a very thin layer of endothelium on the BMS was observed by optical coherence tomography. CAG assessment revealed that the blood stream of the CAA had been obstructed. We herein report a case of CAA after SES implantation with eight years of follow-up and the findings of a multimodality imaging evaluation. |
| Databáze: | OpenAIRE |
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