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Combination therapy involving stenting and coil embolization for atherosclerotic narrowing complicated by a coronary
Hirotaka Oda1, Tomoyasu Suzuki
1Department of Cardiology, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata 950-1197, Japan. oda@hosp.niigata.niigata.jp
Insights
Atherosclerotic coronary artery aneurysms pose management challenges due to unknown prognosis. This case study demonstrates successful treatment using coil embolization and stent implantation for a combined aneurysm and narrowing.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Atherosclerotic coronary artery aneurysms present diagnostic and therapeutic challenges.
- The optimal management strategy for these aneurysms remains controversial due to limited prognostic data.
- Coronary artery aneurysms can be associated with significant atherosclerotic disease.
Abstract:
There is controversy as to how atherosclerotic coronary artery aneurysms should be treated and managed because their prognosis is still unknown. This report describes a case in which atherosclerotic coronary narrowing accompanied by a saccular coronary aneurysm was successfully treated by combination therapy involving coil embolization to treat the aneurysm and stent implantation across the narrowing and the ostium of the aneurysm.
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