Document Detail

A self-expandable coronary stent system to treat complex coronary stenosis complicated by poststenotic aneurysm: an optical coherence tomographic evidence-based case report.
MedLine Citation:
PMID:  22147408     Owner:  NLM     Status:  In-Data-Review    
Coronary artery aneurysm is a relatively uncommon disorder characterized by coronary artery dilatation with diameter that exceeds 50% of the normal adjacent segments with atherosclerosis being the most common etiology. Aneurysms can be adjacent to a stenosis in a post- or prestenotic location. Both anatomical conditions are technically challenging regarding their percutaneous treatment because of the large discrepancy in size between the stenotic and dilated segments, and require careful choice of the most appropriate technique and device. We have successfully treated a coronary stenosis complicated by a poststenotic aneurysm in a 60-year-old patient with atypical angina using a novel self-expandable coronary stent system implanted with optical coherence tomography (OCT) guidance. OCT scan after implantation showed residual stent malapposition inside the aneurysm despite postdilatation. Thanks to the ability of this stent to self-expand over time, 6-month OCT follow-up showed an optimal result in terms of stent apposition, strut coverage, and absence of in-stent restenosis.
Alessio La Manna; Salvatore Geraci; Corrado Tamburino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  23     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E277-80     Citation Subset:  IM    
Ospedale Ferrarotto-Alessi, Dipartimento di Cardiologia, 31 Via S.Citelli, 95124 Catania, Italy.
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