Long drug-eluting stent implantation for a diffusely diseased right internal mammary artery.
The frequent use of the internal mammary artery as a bypass graft has brought about an increasing need for angioplasty to treat stenotic arterial grafts. Percutaneous interventions of internal mammary artery grafts by balloon angioplasty or stenting with bare-metal stents have been described in the past. However, implantation of bare-metal stents was associated with high rates of restenosis. The introduction of drug-eluting stents for the treatment of diseased native coronary vessels has been associated with a reduced need for repeat intervention compared with bare-metal stents for both low-risk lesions and high-risk, complex lesions, including the 'long lesion' subset. We describe a case of long drug-eluting stent implantation for a diffusely diseased right internal mammary artery.
Niccoli
Giampaolo
G
Institute of Cardiology, Catholic University, Rome, Italy. gniccoli73@hotmail.it
Biscione
Carmine
C
Conte
Micaela
M
Crea
Filippo
F
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D002317:Cardiovascular Agents / Q000008:administration & dosage*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000188:drug therapy / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008323:Mammary Arteries / Q000187:drug effects / Q000473:pathology / Q000637:transplantation*; D011474:Prosthesis Design; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents; D016896:Treatment Outcome
D002317:Cardiovascular Agents