Coronary aneurysms in the acute patient: Incidence, characterization and long-term management results

Núñez‐Gil, Iván J.; Terol, Belén; Feltes, Gisela; Nombela‐Franco, Luis; Salinas, Pablo; Escaned, Javier; Jiménez‐Quevedo, Pilar; Gonzalo, Nieves; Vivas, David; Bautista, Daniel; Macaya, Carlos; Fernández‐Ortíz, Antonio

doi:10.1016/j.carrev.2017.12.003

Cited by 30 publications

(34 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Upon literature review, outcome data on PCI for incidental CAE is limited to a small subset of case reports and currently there is no evidence-based guideline for stenotic ectatic coronary arteries. PCI of an ectatic culprit vessel in the setting of ACS has been associated with worse outcomes, lower procedural success, higher incidence of no-reflow, higher rates of subsequent stent thrombosis, and long-term mortality [ 9 , 10 ]. These poor outcomes are partially due to the considerable technical challenges with deploying stents in torturous/dilated vessels of different sizes in the coronary tree.…”

Section: Discussionmentioning

confidence: 99%

Multi-Vessel Coronary Artery Ectasia

Madkour¹,

Hu²

2021

Cureus

View full text Add to dashboard Cite

Coronary artery ectasia is a relatively rare entity, especially when it involves the left main coronary artery. Furthermore, it is even more uncommon for such a disease process to involve multiple coronary arteries. Here we describe a case of a 78-year-old female who did not possess any of the common risk factors or vasculitic etiologies associated with coronary artery ectasia, who was found to have multi-vessel ectatic segments, including that of the left main coronary artery. This case illuminates the difficult decision making regarding stenting of the coronary arteries with ectatic segments and the decision to anticoagulate.

show abstract

Section: Discussionmentioning

confidence: 99%

Multi-Vessel Coronary Artery Ectasia

Madkour¹,

Hu²

2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Significant bleeding was reported in 10.1%, arterial thromboembolic events in 1.8%, and stroke in 3.9%. Death rate was 0% in simple percutaneous transluminal coronary angioplasty (PTCA), 35% in conventional stent, 7.8% in drug-eluting stent and 21.2% in surgical method, while, The MACE (death and/or un-stable angina and/or myocardial infarction and/or heart failure and/or stroke) was reported in 60%, 50%, 37.3% and 19.2% of the reported procedures, respectively (12). Our result demonstrated no perioperative MI, respiratory problems, AKI, infections, in-hospital or late mortalities after surgery.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Surgical Outcomes of Coronary Artery Aneurysm: A Case Series

Azizi

Baharestani

Dehaki

et al. 2019

Multidiscip Cardio Annal

View full text Add to dashboard Cite

Background: Coronary arteries aneurysm (CAA) is one the rare and life-threatening abnormalities of the cardiovascular system. Objectives: Our study aims to present clinical characteristics and surgical results of patients with aneurysm of coronary artery in Iranian population. Methods: This is a retrospective case series of eight patients with aneurismal coronary artery, who underwent surgical repair in an Iranian tertiary referral centre from 2004-2014 and were followed up till 2017 (mean follow-up: 8.6 ± 3.8 years). Patients' demographics, clinical characteristics, past medical histories and surgical data were recorded retrospectively. All data were analyzed by SPSS software (IBM Corp. IBM SPSS Statistics for Windows, version 22.0. Armonk, NY: IBM Corp.). Results: Overall eight patients with CAA, consisting of 6 (75%) male and mean age of 35.21 ± 23.76 (0.75-67) years, were analyzed. Dyspnea and chest pain were the most frequent symptoms among patients (3 (37.5%)). Moreover, hypertension and coronary artery disease (CAD) were the most common comorbidities amongst our subjects. Angiography of patients showed concomitant CAD in 6 (75%) patients including four (50%) three-vessel disease and two (25%) two-vessel disease. Left anterior descending (LAD) was the most prevalent aneurismal coronary artery 4 (50%). Six (75%) patients underwent coronary artery bypass graft (CABG) at the same time due to coronary artery disease. One patient had post operative bleeding and underwent re-operation and 2 patients had pericardial effusion that didn't require surgical intervention. There was no perioperative MI, respiratory problems, acute kidney insufficiency (AKI), infections and in-hospital or late mortalities in patients after surgery. Conclusions: Majority of patients diagnosed and treated for CAA, had concomitant coronary artery disease at the time of testing and underwent CABG. There were no peri and post-operative mortality, and all patients showed satisfying outcome. In addition to the benefits of early diagnosis and intervention in prognosis of patients, larger studies are warranted to identify the possible risk factors of this condition to identify those at risk in order to reduce the consequent complications.

show abstract

“…According to whether the dilatation scope exceeds 50% of the whole length of the parent artery, it is divided into CAA (<50%) and coronary artery ectasia (CAE) (>50%) [2] . The incidence rate of CAA is less than 1% in angiography [3][4][5][6] .…”

Section: Introductionmentioning

confidence: 98%

Haemodynamic Analysis of Single And Double Bare-metal Stents For Coronary Artery Aneurysm

Yang¹,

Yuan²,

Cui³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background The aim of this study was to investigate a novel method to treat coronary artery aneurysms(CAAs).Methods Three CAAs patients who underwent single or double bare-metal stent implantation were recruited. The CAAs and parent artery diameters were measured for model construction. Single- and double-stent implantation were simulated, and the changes in the CAAs haemodynamics after stenting were analysed. Results In Case 1, the flow velocity in the single-stent model was significantly lower than that in the double-stent model (0.0046±0.013 vs 0.0050±0.011, p<0.001), while the pressure (127.33±18.03 vs 121.19±26.92, p<0.001) and wall shear stress (WSS, 0.28±1.19 vs 0.22±1.13, p<0.001) were significantly higher. In Case 2, the flow velocity (0.005±0.011 vs 0.007±0.01, p<0.001) and WSS (0.17±0.82 vs 0.23±0.88, p<0.001) in the double-stent model were significantly lower than those in the single-stent model, while the pressure was significantly higher(117.70±10.07 vs 110.64±6.34, p<0.001). The same tendency was also observed in Case 3. All CAAs occluded during the follow-up period without obvious in-stent restenosis.Conclusion Application of the single or double bare-metal stent technique, according to the neck diameter of the coronary artery aneurysms, can effectively change the flow in vessels and aneurysm haemodynamics to achieve occlusion.Trail registration: Clinicaltrails, NCT04265989. Registered 12 February 2020, https://clinicaltrials.gov/ct2/show/NCT04265989?term=NCT04265989&draw=2&rank=1

show abstract

Coronary aneurysms in the acute patient: Incidence, characterization and long-term management results

Cited by 30 publications

References 26 publications

Multi-Vessel Coronary Artery Ectasia

Multi-Vessel Coronary Artery Ectasia

Clinical Characteristics and Surgical Outcomes of Coronary Artery Aneurysm: A Case Series

Haemodynamic Analysis of Single And Double Bare-metal Stents For Coronary Artery Aneurysm

Contact Info

Product

Resources

About