Treatment of coronary artery aneurysms by percutaneous sealing with bovine-pericardium-covered stents |
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Authors: | Gaspar Jorge Vonderwalde Carlos Eid-Lidt Guering |
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Institution: | Department of Interventional Cardiology, Instituto Nacional de Cardiología, Mexico City, Mexico. |
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Abstract: | The clinical significance of coronary artery aneurysms is briefly discussed. Until recently, surgical excision was the only treatment available. Single-case reports have documented aneurysm exclusion with vein-covered stents using 10 or 11 F. guiding catheters. This paper reports four patients with coronary artery aneurysms which were successfully excluded with the use of a novel pericardium-covered stent which is less invasive and shortens procedure time compared with the use of an autologous vein-grated stent and can be deployed using 8 F. or 9 F. guiding catheters. Short-term (five- to eight-month) clinical follow-up has been event-free in all patients, and in three patients six-month follow-up angiography has shown insignificant luminal loss. |
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