title: Intracoronary stent placement proximal to a myocardial bridge: immediate and long-term results.
abstract: 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.
authors.affiliation: Invasive Cardiology Unit, Evangelismos Hospital, Athens, Greece.
authors.forename: I P
authors.initials: IP
authors.lastname: Antonellis
authors.forename: S P
authors.initials: SP
authors.lastname: Patsilinakos
authors.forename: C A
authors.initials: CA
authors.lastname: Pamboukas
authors.forename: A J
authors.initials: AJ
authors.lastname: Kranidis
authors.forename: N G
authors.initials: NG
authors.lastname: Margaris
authors.forename: G
authors.initials: G
authors.lastname: Filippatos
authors.forename: M
authors.initials: M
authors.lastname: Efremidis
authors.forename: A G
authors.initials: AG
authors.lastname: Tavernarakis
authors.forename: S G
authors.initials: SG
authors.lastname: Rokas
authors.forename: S F
authors.initials: SF
authors.lastname: Stamatelopoulos
mesh_terms: 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