Novel applications of noncardiac vascular devices for the treatment of coronary artery pathology.
Transcatheter percutaneous therapy for the treatment of vascular disease has markedly expanded over the last 20 years. This growth of endovascular technology has encouraged application of these modalities to vascular pathology in numerous territories that are not optimally suited for open-surgical techniques. Though the initial development and use of these devices was directed towards specific vascular beds (i.e., coronary, peripheral, cerebrovascular), it is becoming increasingly apparent that these devices can be effectively used in alternate situations when clinically indicated. We describe two cases of nontraditional uses of noncoronary devices (specifically biliary self-expanding stents and neurovascular coils) in patients with coronary artery pathology.
Iyengar
Srinivas
S
Division of Cardiology, Columbia University Medical Center, 161 Fort Washington Avenue, HIP 5th floor, New York, NY 10032, USA. si2177@columbia.edu
Meyers
Philip M
PM
Goyal
Neil K
NK
Moses
Jeffrey W
JW
Gray
William A
WA
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans