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Updated: Apr 14, 2026

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
Multiple giant coronary arterial aneurysms following sirolimus drug eluting stents implantation
Insights
Coronary artery aneurysms are a rare complication following coronary interventions, more frequent with drug-eluting stents. Management strategies for these aneurysms depend on their type and the patient's condition.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Coronary artery aneurysms (CAAs) are uncommon sequelae of coronary interventions, occurring in 0.2%-1.7% of cases.
- CAAs are observed more frequently after procedures involving drug-eluting stents (DES) compared to bare metal stents (BMS).
- These aneurysms present a variable clinicopathological entity, often discovered incidentally or during routine follow-up angiography.
Abstract:
Coronary artery aneurysm after coronary interventions are rare but variable (0.2%-1.7%) clinicopathological entity depending on whether a incidental or a routine 6 monthly angiographic follow up finding and is seen more common with drug eluting stents (DES) rather than bare metal stents (BMS). It is of three types and depending on the type and patient clinical response further strategy (conservative, covered stents or coronary artery bypass surgery) is decided. We report a patient with large type 2 coronary artery aneurysms post percutaneous coronary intervention (PCI) to the right coronary artery (RCA) and the Left anterior descending (LAD) coronary artery and presenting four months later.
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