Related Experiment Video

Updated: May 26, 2026

Imaging In-Stent Restenosis: An Inexpensive, Reliable, and Rapid Preclinical Model
09:46

Imaging In-Stent Restenosis: An Inexpensive, Reliable, and Rapid Preclinical Model

Published on: September 14, 2009

A self-expandable coronary stent system to treat complex coronary stenosis complicated by poststenotic aneurysm: an

Alessio La Manna1, Salvatore Geraci, Corrado Tamburino

  • 1Ospedale Ferrarotto-Alessi, Dipartimento di Cardiologia, 31 Via S.Citelli, Catania, Italy. lamanna.cardio@gmail.com

The Journal of Invasive Cardiology
|December 8, 2011
PubMed

Insights

This study presents a successful treatment of coronary artery aneurysm with stenosis using a novel self-expanding stent system. Optical coherence tomography (OCT) confirmed optimal stent placement and vessel healing after six months, demonstrating a promising therapeutic approach.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Coronary artery aneurysm, often caused by atherosclerosis, presents a complex challenge for percutaneous coronary intervention due to significant size discrepancies between stenotic and aneurysmal segments.
  • Treating combined coronary stenosis and poststenotic aneurysm requires careful selection of techniques and devices to manage anatomical challenges effectively.

Observation:

  • A 60-year-old patient with atypical angina and a poststenotic coronary aneurysm underwent treatment with a novel self-expandable coronary stent system under optical coherence tomography (OCT) guidance.
  • Initial OCT imaging revealed residual stent malapposition within the aneurysmal segment despite post-stent dilation.

Findings:

  • The self-expanding nature of the novel stent system facilitated gradual adaptation and improved stent apposition over time.
  • A 6-month follow-up using OCT demonstrated complete stent apposition, adequate strut coverage, and the absence of in-stent restenosis, indicating a successful outcome.

Implications:

  • This case highlights the potential of novel self-expanding stent technology for effectively managing complex coronary artery lesions involving aneurysms.
  • OCT guidance is crucial for assessing and confirming optimal stent deployment in challenging anatomical configurations like poststenotic aneurysms.

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...