Progressive growth of coronary aneurysms after bioresorbable vascular scaffold implantation: Successful treatment with OCT‐guided exclusion using covered stents

The development and progressive enlargement over time of multiple saccular coronary artery aneurysms (CAA) after implantation of everolimus‐eluting stent and bioresorbable vascular scaffolds (BVS) have been reported. CAA was successfully excluded by two overlapped covered stents expanded inside a lo...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2021-04, Vol.97 (5), p.E676-E679
Main Authors: Fabbiocchi, Franco, Calligaris, Giuseppe, Bartorelli, Antonio L.
Format: Article
Language:English
Subjects:
Aneurysm
Aneurysms
Angiography
Case Report
Computed tomography
Coronary artery
Coronary Artery Disease
coronary imaging
Implants
percutaneous intervention
Saccule
Stents
vascular ectasia
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Summary:The development and progressive enlargement over time of multiple saccular coronary artery aneurysms (CAA) after implantation of everolimus‐eluting stent and bioresorbable vascular scaffolds (BVS) have been reported. CAA was successfully excluded by two overlapped covered stents expanded inside a long metallic drug‐eluting stent to avoid dislodgment at the overlap point. Optical coherence tomography (OCT) was repeatedly performed to monitor CAA expansion and to guide treatment through precise measurement of aneurysm length and vessel size at the landing zone. At 10‐month follow‐up, coronary computed tomography angiography showed persistent CAA exclusion. To the best of our knowledge, this is the first report of this technique to exclude a long CCA segment.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.29193