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Erschienen in: Cardiovascular Intervention and Therapeutics 2/2015

01.04.2015 | Case Report

Spontaneous resolution of pseudoaneurysm after zotarolimus-eluting stent implantation: imaging evidence at 13 months of follow-up

verfasst von: Minoru Ichikawa, Yoshiyuki Kijima

Erschienen in: Cardiovascular Intervention and Therapeutics | Ausgabe 2/2015

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Abstract

Coronary pseudoaneurysm is a rare complication of percutaneous coronary intervention with a drug-eluting stent. Neither precise incidence of the complication has been known, nor there has been any established therapeutic approach for it. A 69-years-old male with effort angina underwent percutaneous coronary intervention to his left main coronary artery (LMCA). After pre-dilatation with a balloon, Endeavor zotarolimus-eluting stent (E-ZES) was successfully implanted into the lesion that extended from his LMCA to left anterior descending artery. At 6 months after stenting, coronary angiography (CAG) and intravascular ultrasound (IVUS) revealed coronary pseudoaneurysm at the stented segment. Follow-up CAG at 13 months after stenting showed the spontaneous and complete resolution of the pseudoaneurysm. Subsequent IVUS, optical coherence tomography, and coronary angioscopy visualized complete neointimal coverage of stent struts. This is the first case report of E-ZES-related pseudoaneurysm with relatively rapid resolution. Our patient suggests that E-ZES might incidentally contribute to this favorable outcome.
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Metadaten
Titel
Spontaneous resolution of pseudoaneurysm after zotarolimus-eluting stent implantation: imaging evidence at 13 months of follow-up
verfasst von
Minoru Ichikawa
Yoshiyuki Kijima
Publikationsdatum
01.04.2015
Verlag
Springer Japan
Erschienen in
Cardiovascular Intervention and Therapeutics / Ausgabe 2/2015
Print ISSN: 1868-4300
Elektronische ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-014-0268-2

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