Coronary aneurysm after implantation of a paclitaxel-eluting stent

被引:24
作者
Vik-Mo, H [1 ]
Wiseth, R [1 ]
Hegbom, K [1 ]
机构
[1] Norwegian Univ Sci & Technol, St Olav Hosp, Dept Cardiol, N-7006 Trondheim, Norway
关键词
coronary aneurysm; drug-eluting stent; intravascular ultrasound; paclitaxel; stent malapposition;
D O I
10.1080/14017430410016413
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Formation of coronary aneurysm is a rare complication of stenting with bare metal stents, but based on experimental studies drug-eluting stents may induce toxic effects on the vessel wall with incomplete stent apposition, aneurysm formation and with the potential of stent thrombosis or vessel rupture. We present a 43-year-old man who developed a coronary aneurysm in the right coronary artery 6 months after receiving a paclitaxel-eluting stent. The patient was asymptomatic and the aneurysm was detected in a routine control. Angiography and intracoronary ultrasound demonstrated lack of contact between stent and vessel wall in a 15-mm long segment with maximal aneurysm diameter of 6.0 mm. The patient was successfully treated with a graft stent.
引用
收藏
页码:349 / 352
页数:4
相关论文
共 20 条
[1]  
Baumbach A, 1999, CATHETER CARDIO INTE, V47, P102, DOI 10.1002/(SICI)1522-726X(199905)47:1<102::AID-CCD22>3.0.CO
[2]  
2-G
[3]  
Büllesfeld L, 2003, Z KARDIOL, V92, P825, DOI 10.1007/s00392-003-0971-y
[4]   Effect of stent coating alone on in vitro vascular smooth muscle cell proliferation and apoptosis [J].
Curcio, A ;
Torella, D ;
Cuda, G ;
Coppola, C ;
Faniello, MC ;
Achille, F ;
Russo, VG ;
Chiariello, M ;
Indolfi, C .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2004, 286 (03) :H902-H908
[5]   Long-term follow-up of incomplete stent apposition in patients who received sirolimus-eluting stent for de novo coronary lesions - An intravascular ultrasound analysis [J].
Degertekin, M ;
Serruys, PW ;
Tanabe, K ;
Lee, CH ;
Sousa, JE ;
Colombo, A ;
Morice, MC ;
Ligthart, JMR ;
de Feyter, PJ .
CIRCULATION, 2003, 108 (22) :2747-2750
[6]   Neointimal thickening after stent delivery of paclitaxel: Change in composition and arrest of growth over six months [J].
Drachman, DE ;
Edelman, ER ;
Seifert, P ;
Groothuis, AR ;
Bornstein, DA ;
Kamath, KR ;
Palasis, M ;
Yang, DC ;
Nott, SH ;
Rogers, C .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (07) :2325-2332
[7]   Pathological analysis of local delivery of paclitaxel via a polymer-coated stent [J].
Farb, A ;
Heller, PF ;
Shroff, S ;
Cheng, L ;
Kolodgie, FD ;
Carter, AJ ;
Scott, DS ;
Froehlich, J ;
Virmani, R .
CIRCULATION, 2001, 104 (04) :473-479
[8]  
Heldman AW, 2001, CIRCULATION, V103, P2289
[9]   First clinical experience with a paclitaxel derivate-eluting polymer stent system implantation for in-stent restenosis - Immediate and long-term clinical and angiographic outcome [J].
Liistro, F ;
Stankovic, G ;
Di Mario, C ;
Takagi, T ;
Chieffo, A ;
Moshiri, S ;
Montorfano, M ;
Carlino, M ;
Briguori, C ;
Pagnotta, P ;
Albiero, R ;
Corvaja, N ;
Colombo, A .
CIRCULATION, 2002, 105 (16) :1883-1886
[10]   A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. [J].
Morice, M ;
Serruys, PW ;
Sousa, JE ;
Fajadet, J ;
Hayashi, EB ;
Perin, M ;
Colombo, A ;
Schuler, G ;
Barragan, P ;
Guagliumi, G ;
Molnar, F ;
Falotico, R .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (23) :1773-1780