Stent-assisted detachable coil embolization of pseudoaneurysms in the coronary circulation.
Pseudoaneurysms in the coronary circulation are an uncommon occurrence that can develop spontaneously in the setting of atherosclerosis or can develop after catheter-based coronary interventions. The natural history, clinical outcome, and optimal therapy for pseudoaneurysms in the coronary circulation are not clearly established. Recent advances in the techniques and technologies used for endovascular treatment of intracranial aneurysms may be applicable to the management of coronary aneurysms and pseudoaneurysms. We present a case of spontaneous coronary pseudoaneurysm formation after paclitaxel drug-eluting stent implantation and a case of pseudoaneurysm formation in a saphenous vein graft that were both successfully treated with stent-assisted detachable coil embolization.
Maroo
Anjli
A
Department of Cardiovascular Medicine, Section of Interventional Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. anjlimaroo@hotmail.com
Rasmussen
Peter A
PA
Masaryk
Thomas J
TJ
Ellis
Stephen G
SG
Lincoff
A Michael
AM
Kapadia
Samir
S
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003323:Coronary Aneurysm / Q000209:etiology / Q000628:therapy*; D003326:Coronary Circulation; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017239:Paclitaxel / Q000627:therapeutic use; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents / Q000009:adverse effects
D002317:Cardiovascular Agents; D017239:Paclitaxel