An attractive endovascular strategy for combined-aneurysmal and stenotic-coronary artery disease
JOURNAL OF CARDIOVASCULAR MEDICINE(2021)
摘要
Abstract In patients undergoing coronary angiography the coexistence of aneurysmal and stenotic lesions in adjacent segments of the same epicardial vessel is uncommon. We describe a rare case of single-vessel coronary artery disease (CAD) in a 70-year-old male, presenting with progressive effort-induced angina of 3-months’ evolution. The coronary angiogram revealed a critical calcified stenosis in the context of diffuse ectasia affecting the right coronary artery (RCA). Our report focuses on a complex revascularization procedure using the self-expandable Carotid Wallstent. Highlighting the importance of a multidisciplinary approach, we provide an original and effective endovascular solution for an unusual pathological angiographic finding, which could be of potential interest for interventional cardiologists.
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关键词
calcified critical stenosis, Carotid Wallstent, coronary artery ectasia, percutaneous coronary intervention, rotational atherectomy
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