Intracoronary stent placement proximal to a myocardial bridge: immediate and long-term results.
The intracoronary stent placement in a lesion proximal to a myocardial bridge is of special importance and is considered to be a challenge for the interventional cardiologist. In this study 4 cases of stent implantation proximal to a coronary bridged segment are described. In all cases complications were observed after the procedure. The patients remained free of symptoms and the exercise TI201 test was negative for ischemia 8.5+/-2.6 months later. Although there is skepticism because of the abnormal coronary flow pattern, the endothelial dysfunction and the subsequent thrombogenicity, the stent placement proximal to a myocardial bridge was safe and with favorable long term results in all 4 cases. However, further studies in large populations are necessary.
Antonellis
I P
IP
Invasive Cardiology Unit, Evangelismos Hospital, Athens, Greece.
Patsilinakos
S P
SP
Pamboukas
C A
CA
Kranidis
A J
AJ
Margaris
N G
NG
Filippatos
G
G
Efremidis
M
M
Tavernarakis
A G
AG
Rokas
S G
SG
Stamatelopoulos
S F
SF
D000368:Aged; D003330:Coronary Vessel Anomalies / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome