Skip to main content
Erschienen in: Journal of Medical Ultrasonics 2/2019

10.10.2018 | Case Report

Coil embolization of pseudoaneurysm as a complication of excimer laser coronary angioplasty: insights from intravascular ultrasound and optical coherence tomography findings

verfasst von: Ruka Yoshida, Kensuke Takagi, Itsuro Morishima, Hideyuki Tsuboi

Erschienen in: Journal of Medical Ultrasonics | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

The occurrence of pseudoaneurysm in the coronary artery is rare and can develop after percutaneous coronary interventions. To date, the optimal therapy, including conservative, surgical, and endovascular therapies, for pseudoaneurysm in the coronary artery remains unclear. Here, we report a case of pseudoaneurysm arising as a complication of excimer laser coronary angioplasty, which was successfully treated with stent-assisted coil embolization, after which optical coherence tomography revealed complete healing of the pseudoaneurysm. This report highlights the feasibility of stent-assisted coil embolization for coronary pseudoaneurysms involving bifurcation.
Literatur
1.
2.
Zurück zum Zitat Ilkay E, Karaca I, Yavuzkir M, et al. The effect of interventional treatment in acute myocardial infarction on ST resolution: a comparison of coronary angioplasty with excimer laser angioplasty. Angiology. 2005;56:377–84.CrossRefPubMed Ilkay E, Karaca I, Yavuzkir M, et al. The effect of interventional treatment in acute myocardial infarction on ST resolution: a comparison of coronary angioplasty with excimer laser angioplasty. Angiology. 2005;56:377–84.CrossRefPubMed
3.
Zurück zum Zitat Sacca S, Pacchioni A, Nikas D. Coil embolization for distal left main aneurysm: a new approach to coronary artery aneurysm treatment. Catheter Cardiovasc Interv. 2012;79:1000–3.CrossRefPubMed Sacca S, Pacchioni A, Nikas D. Coil embolization for distal left main aneurysm: a new approach to coronary artery aneurysm treatment. Catheter Cardiovasc Interv. 2012;79:1000–3.CrossRefPubMed
4.
Zurück zum Zitat Bittl JA, Ryan TJ Jr, Keaney JF Jr, et al. Coronary artery perforation during excimer laser coronary angioplasty. The percutaneous excimer laser coronary angioplasty registry. J Am Coll Cardiol. 1993;21:1158–65.CrossRefPubMed Bittl JA, Ryan TJ Jr, Keaney JF Jr, et al. Coronary artery perforation during excimer laser coronary angioplasty. The percutaneous excimer laser coronary angioplasty registry. J Am Coll Cardiol. 1993;21:1158–65.CrossRefPubMed
5.
Zurück zum Zitat Holmes DR Jr, Reeder GS, Ghazzal ZM, et al. Coronary perforation after excimer laser coronary angioplasty: the excimer laser coronary angioplasty registry experience. J Am Coll Cardiol. 1994;23:330–5.CrossRefPubMed Holmes DR Jr, Reeder GS, Ghazzal ZM, et al. Coronary perforation after excimer laser coronary angioplasty: the excimer laser coronary angioplasty registry experience. J Am Coll Cardiol. 1994;23:330–5.CrossRefPubMed
6.
Zurück zum Zitat Shelton ME, Lasala JM. Pseudoaneurysm following successful excimer laser coronary angioplasty of a restenotic left internal mammary artery graft ostial lesion. J Invasive Cardiol. 1994;6:157–9.PubMed Shelton ME, Lasala JM. Pseudoaneurysm following successful excimer laser coronary angioplasty of a restenotic left internal mammary artery graft ostial lesion. J Invasive Cardiol. 1994;6:157–9.PubMed
8.
9.
Zurück zum Zitat Buyukkaya R, Kocaeli H, Yildirim N, et al. Treatment of complex intracranial aneurysms using flow-diverting silk(R) stents. An analysis of 32 consecutive patients. Interv Neuroradiol. 2014;20:729–35.CrossRefPubMedPubMedCentral Buyukkaya R, Kocaeli H, Yildirim N, et al. Treatment of complex intracranial aneurysms using flow-diverting silk(R) stents. An analysis of 32 consecutive patients. Interv Neuroradiol. 2014;20:729–35.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Tanigawa J, Barlis P, Di Mario C. Intravascular optical coherence tomography: optimisation of image acquisition and quantitative assessment of stent strut apposition. EuroIntervention. 2007;3:128–36.PubMed Tanigawa J, Barlis P, Di Mario C. Intravascular optical coherence tomography: optimisation of image acquisition and quantitative assessment of stent strut apposition. EuroIntervention. 2007;3:128–36.PubMed
11.
Zurück zum Zitat Ikuta S, Kobuke K, Iwanaga Y, et al. Difference in neointimal coverage at chronic stage between bare metal stent and sirolimus-eluting stent evaluated at stent–strut level by optical coherence tomography. Heart Vessels. 2014;29:320–7.CrossRefPubMed Ikuta S, Kobuke K, Iwanaga Y, et al. Difference in neointimal coverage at chronic stage between bare metal stent and sirolimus-eluting stent evaluated at stent–strut level by optical coherence tomography. Heart Vessels. 2014;29:320–7.CrossRefPubMed
12.
Zurück zum Zitat Nishi S, Nakayama Y, Ishibashi-Ueda H, et al. Development of microporous self-expanding stent grafts for treating cerebral aneurysms: designing micropores to control intimal hyperplasia. J Artif Organs. 2011;14:348–56.CrossRefPubMed Nishi S, Nakayama Y, Ishibashi-Ueda H, et al. Development of microporous self-expanding stent grafts for treating cerebral aneurysms: designing micropores to control intimal hyperplasia. J Artif Organs. 2011;14:348–56.CrossRefPubMed
13.
Zurück zum Zitat Kim YS, Lee SW, Yeom JA, et al. Angiographic findings of in-stent intimal hyperplasia after stent-assisted coil embolization: are they permanent findings? J Neurosurg. 2016;124:328–33.CrossRefPubMed Kim YS, Lee SW, Yeom JA, et al. Angiographic findings of in-stent intimal hyperplasia after stent-assisted coil embolization: are they permanent findings? J Neurosurg. 2016;124:328–33.CrossRefPubMed
14.
Zurück zum Zitat Ohtsuka M, Uchida E, Yamaguchi H, et al. Coronary aneurysm reduced after coronary stenting. Int J Cardiol. 2007;121:76–7.CrossRefPubMed Ohtsuka M, Uchida E, Yamaguchi H, et al. Coronary aneurysm reduced after coronary stenting. Int J Cardiol. 2007;121:76–7.CrossRefPubMed
15.
Zurück zum Zitat Ito K, Isoda K, Daida H. Bare metal stent for a coronary artery aneurysm. Intern Med. 2016;55:315–6.CrossRefPubMed Ito K, Isoda K, Daida H. Bare metal stent for a coronary artery aneurysm. Intern Med. 2016;55:315–6.CrossRefPubMed
16.
Zurück zum Zitat Qiao SB, Li J, Cui JG, et al. Efficacy of bare metal stent for treating focal coronary artery aneurysm complicating with severe stenosis in single coronary artery. Zhonghua xin xue guan bing za zhi. 2018;46:279–83 (in Chinese).PubMed Qiao SB, Li J, Cui JG, et al. Efficacy of bare metal stent for treating focal coronary artery aneurysm complicating with severe stenosis in single coronary artery. Zhonghua xin xue guan bing za zhi. 2018;46:279–83 (in Chinese).PubMed
17.
Zurück zum Zitat Shintani Y, Kawasaki T. The effects of a bare metal stent on the healing of a huge coronary pseudoaneurysm: a case report. Catheter Cardiovasc Interv. 2012;80:621–5.CrossRefPubMed Shintani Y, Kawasaki T. The effects of a bare metal stent on the healing of a huge coronary pseudoaneurysm: a case report. Catheter Cardiovasc Interv. 2012;80:621–5.CrossRefPubMed
Metadaten
Titel
Coil embolization of pseudoaneurysm as a complication of excimer laser coronary angioplasty: insights from intravascular ultrasound and optical coherence tomography findings
verfasst von
Ruka Yoshida
Kensuke Takagi
Itsuro Morishima
Hideyuki Tsuboi
Publikationsdatum
10.10.2018
Verlag
Springer Singapore
Erschienen in
Journal of Medical Ultrasonics / Ausgabe 2/2019
Print ISSN: 1346-4523
Elektronische ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-018-0908-8

Weitere Artikel der Ausgabe 2/2019

Journal of Medical Ultrasonics 2/2019 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.