The use of tapered self-expanding stents and embolic protection devices in the treatment of stenotic ectatic coronary arteries: a report of two cases.
OBJECTIVE
The usage of tapered self-expanding stents and embolic protection devices in the treatment of stenotic ectatic coronary arteries.


BACKGROUND
Coronary artery ectasia (CAE) is an uncommon disease that is occasionally found during cardiac catheterization. A high incidence of artherosclerotic disease is associated with CAE. Currently, there is no evidence-based approach for the management of stenotic ectatic coronary arteries (SEC).


METHODS
Percutaneous intervention with carotid stenting system and embolic protection system to recanalize SEC.


RESULTS
We describe two patients who presented with acute coronary syndrome and were found to have CAE with significant stenosis. Both patients underwent percutaneous intervention with RX ACCULINK Carotid stenting system and ACCUNET embolic protection system (Abbott Laboratories, Abbott Park, IL), successfully. This carotid stenting system is approved by FDA for stenting of extracranial carotid artery stenosis.


CONCLUSIONS
To the best of our knowledge, this is the first case report illustrating the usage of these devices as an alternative for the treatment of SEC.
Le
Vu
V
Department of Internal Medicine, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, USA.
Abu-Fadel
Mazen
M
Hennebry
Thomas A
TA
D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation*; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004108:Dilatation, Pathologic; D004617:Embolism / Q000209:etiology / Q000517:prevention & control*; D004867:Equipment Design; D005374:Filtration / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome